Wine Glass 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
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Single Heart 215
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Single Heart 224
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Single Heart 228
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Double Heart 215
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Double Heart 224
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Double Heart 228
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Wine Glasses
Links Page
Main Page
Reversed
Names come Julie / Chris on one glass and Chris / Julie on the other
glass.
Single heart has one name per glass.
|Italics/Am.Std |
Design #
| First Name | First Name |Reverse
Names |
Date
| Each | Price / Set
$22.00
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|Example | Italics | DH 228
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Julie
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Chris
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Yes
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$12.50
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$22.00
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Pre - Total |
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Add Ship/Handling |
$10.50
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Insurance | _
$1.85__
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Please Print this order form, fill out and mail with
your
payment. One set per
order.
Total Enclosed |
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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 (please call or
email
me for rush orders)
Received_____________ Shipped______________
updated 10/02/08