Marine Corps Wine Order Form
Please print out this form and mail with payment,  or email  me to place your order.
Send to: GLASS TATTOO
P.O.Box 909
29 Palms, Calif. 92277-0909

  Wine Glasses
Links Page   Main Page
One name per glass.


|Italics/Am.Std | Design # | First Name                  | First Name                                        |  Price / Set  $10.00 |
|Example |  Italics  |  EGA      |  Julie                              |  Chris                                                            |     $10.00           |
|                            |                  |                                        |                                                                       |                            |
                                                                                                                                             Pre - Total |                            |
                                                                                                                            Add Ship/Handling |        $10.50          |
                                                                                                                              Insurance per set   |        $1.85           |
                                                                                                                                    Total Enclosed |                            |

Please print and fill out one order form for each set of glasses you wish to order.

Ship to:                                                                        Please be SURE that the information
Name__________________________________         you have provided is ACCURATE!!
Mailing Address_________________________        This is a sandblast process through a
City_________________State______________         handcut stencil.  Once the design and
Zip+4_______________                                               names are on the glass, they can not
E-mail address__________________________          be removed!
Phone Number______________________

Method of payment (check one)  [  ] Visa  [  ] M/C  [  ] Discover   [  ] Money Order

Name on card_______________________
Card Number_______________________
Expiration Date_____________________
Signature________________________

Allow 4-6 weeks for delivery
Received_____________   Shipped______________
updated 10/02/08