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2. Contact Name*
3. Email Address*
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
12. How Did You Hear About Us?
14. Preferred Day of the Week & Month*
    Please include day of week and date.
15. Preferred Start Time*
    Preferred Start Time
    Private Pottery Session(s) must begin no later than 6:00 pm.
17. Number of Guests*
    Max 5 guests
18. Number of Desired Sessions
20. Questions and Special Requests
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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