Purchase Order


You may order Cottage Plates by submitting this form. You may also order over the phone by calling (949) 675-0330

Each plate costs $70.00 plus $12.00 Shipping and handling inside CA, $14 outside CA. California residents: add sales tax ($5.43 each). Additional $5 for gift wrappping.



Select the plate you would like to Purchase If you want more than one plate, please submit as many copies of this Purchase Order form as necessary.

Indicate wording you would like on your plates in the space provided below. Each plate may have up to 13 characters (including spaces) printed on the top half of the plate and 15 characters on the bottom half. Pick your words carefully.

Top half (13 characters):

Bottom half (15 characters):

Enter your Name and Billing Address below

Your Name:


City, State, Zip:


Best time to contact me 10am-5pm PST:

email address:

Gift Wrap (Yes or No):

Enter the Name and Delivery Address below





Zip Code:

Thank you for your order we look forward to speaking with you soon!