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Email
*
Class Date
*
Please enter the date of your class (
not your birthday)
Month
/
Day
/
Year
First Name
*
Last Name
*
Street address
*
Unit or Apt #
(required if multiple units are in your building)
City
*
Postal code
*
State/Region
*
Country/Region
*
# of Pottery Pieces to Fire
*
Initials on Pottery
*
Glaze Color
*
Please Select
Clear
White
Pottery Pic
*
Additional Pottery Pic (optional)
Additional Pic 2
Additional Pic 3
Additional Pic 4
Additional Pic 5
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