Glass Works
1280 Lower Wolf Creek Road
Wolf Creek, Oregon 97497
Phone 541-866-2669
Fax 541-866-2402		 Print Out this page, then Fill It Out and Mail It Back
to us with your check or money order.
 
    
NAME_____________________________________
       
SHIPPING ADDRESS- STREET_____________________________________    APT#________
      
CITY_______________________ STATE_________________   ZIP______________
   
Please Fill Out Only The Sections That Apply To Your Item Needs
 
ITEM NAME STYLE SIZE COLOR QTY. PRICE TOTAL
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SATISFACTION GUARANTEED ***

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Please allow 10 Days for Delivery and
2 weeks for Personal Check Orders
Call Us for other Shipping/Delivery questions.
space.gif (47 bytes)MERCHANDISE TOTAL $
space.gif (47 bytes)SHIPPING & HANDLING $ 5.00
space.gif (47 bytes)ORDER TOTAL $
space1.gif (54 bytes) COMMENTS - QUESTIONS - SPECIAL INSTRUCTIONS SECTION:
Our E-mail: sandy@glassworksbysandy.com
  
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