PURCHASE - Fill out this form to reserve your frog!

or call with your order Mon - Fri 2pm - 7pm mountain time
toll free 888-752-8411
or print your order and mail to:

Modern Frogs
c/o Atelier Barker
P.O. Box 241, Logan, UT 84323

printable PDF order form

A Postal Money Order or a Cashier's Check is prefered, personal checks must clear before shipping. Credit / Debit Cards are accepted via Pay Pal.

Reserve your Modern Frog for purchase, availability will be confirmed via email. Please complete all information.
Your information is for confirmation & shipping and will not be distributed
.

Contact & Feedback
What do you think of Modern Frogs?
Is there a frog you would like to see developed?

*required

FIRST NAME*
 
LAST NAME*
E-MAIL*
ADDRESS*
CITY*
STATE*
ZIP*
DAY PHONE*

*Describe the flower frog(s) or bowl(s) (name, number, glass color, listed $price) you wish to purchase OR reserve. Availability will be confirmed via email.

Purchase
Reserve $20 toward purchase, 30 day hold

*Method of payment will be:
Cashier's Check / Money order
Personal Check PayPal (add tax for UT residents 6.75%)

*Tell us your shipping preference:
Shipping: Flat Rate OR Calculated by location, includes insurance.
ASAP RUSH USPS Priority Mail (2-3 days)
+ handling time, 5 days unless you want RUSH service +$3.00

Are you a collector? yes
Please notify me about new releases.

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