Lakeside Pottery Shipping form and Contract

Shipping addres: Lakeside Pottery, 35576 Peregrine Road, Lewes, DE 19958

Items shipped to us can't be scheduled without this completed form included

Item (e.g., Blue vase):

Height:

Width:

Depth: e.g., 4" x 12" x 3"

Number of broken pieces:

Number of missing pieces:

Estimated object's value:

Return insured amount:

Initial repair estimate cost:

50% deposit included:

Enclosed check

Or Pay On-line

Repair level chosen:
Must select one

Best Level

Mid Level

Kintsugi gold effect

Kintsugi 23.5K gold

Contact and Shipping Information

How did you hear about us?

Name:

Street:

E-mail:

Street:

Cell:

City/State/Zip:

Home tel:

Note: We do not ship to a P.O. Box

Our Contract: II agree that Lakeside Pottery Studio (LSP) will not be held liable for any loss or damage of any kind that may occur during shipping. LSP uses UPS Ground as its carrier and can insure packages for up to $1,000. We do not ship to P.O. Boxes. Any damage or loss must be reported to LSP within one week of delivery. All original packing materials must be retained for claim submission. Restored items will resemble their original appearance as closely as possible; however, minor repair traces may remain visible upon close inspection. If the repair is not satisfactory, LSP’s maximum liability is limited to the repair cost. Repaired items are intended for display only and must not be exposed to liquids, high temperatures, or scrubbing. Prolonged exposure to direct sunlight may cause colors to fade over time. If a deposit or balance due is not paid within 30 days, LSP will apply a $30 monthly storage fee per item and reserves the right to sell or dispose of the object(s). Your signature indicates that you have read, understood, and agreed to the above terms.

SIGNATURE:		DATE:
I read the above