HutchBook.comHutchBook Bottle Data Submittal Form
Hutchinson Bottle Directory ID Number (for existing listings):
State or Province:
City:
County:
Area (e.g. Upper Peninsula, Chicagoland, etc.):
Embossing (designate line breaks with slash marks and
show exact punctuation):
Front:
Back:
Base:
Mold (2 leaf, 3 leaf, 4 piece, private, or other [please describe]:
Glass color:
Height:
Diameter:
Plate shape (Round, Horseshoe, Other [please describe):
Base shape (Round, 10 Panel, Other [please describe):
Rarity (Rare = less than 10, Scarce = 10-100, Common =
more than 100)
Comments:
Submitted by:
Address:
Street:
City:
State/Province:
ZIP/Postal Code:
EMail Address:
Print and mail to: HutchBook, PO Box 158,
Littlerock
(Please include photographs and/or a pencil rubbing of
the front embossing!)