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: I agree that Lakeside Pottery Studio (LSP) will not be held liable for loss or damage of any kind during shipping. LSP use UPS Ground as the carrier and is able to insure packages up to $1,000. We do not ship to a P.O. Box. Damage or loss claim must be communicated to LSP within one week of package delivery. All packing materials must be kept for claim submission. Items restored will resemble the original look as close as possible. Some repair traces might be slightly visible if inspected closely. If repair is not satisfactory, the maximum liability for Lakeside Pottery is the repair cost. Repair items are for display only and can not be subjected to liquids, high temperature or scrubbing. Direct sunlight may fade colors with time. If deposit or balance due is not paid within 30 days, LSP will charge a $30 monthly storage fee and has the right to sell or dispose the object. Your signature reflects your understanding of the above.

SIGNATURE:		DATE:
I read the above