CUSTOM FORM

You can use this form as a guideline, or print it and send it to us and we can begin the creative process.

What are you thinking about: a plaque, a sculpture, a vase, a bowl, a centerpiece, an animal?

Choose the appropriate category(ies):

1. For animals sculptures in whimsical poses

Type of animal
Profession
Sport/Hobby/ Musical Instrument
Is this for a special occasion? Describe.
Inscription, if any, on bottom of artwork?
Something other than above?
2. For sculptural wall plaques
Type of event	›e.g. birthday, wedding anniversary, retirement, graduation, birth, housewarming, corporate event
What do you want to include?	›Accomplishments, highlights, interests, etc. of the recipient's personal and professional life to include (family photos, diplomas, awards, hobbies, sports items, favorite establishments, etc.)
Any other information?	›Please tell us what other information will help us design a memorable and meaningful gift.
Your Name:
Address:
City, ST, Zip:
Phone #'s:
email:
Is this a surprise?
3. For pet tributes - fill out the "Pet Tribute" form
Please PRINT this form and either FAX it to 617.547.1445 or mail it to Kaolin Pottery, 80 Egremont Plain Rd., Great Barrington, MA 01230. We will contact you after we receive it.