/ Glass Slippers Order form

Glass Slippers Order form

Please fill the following form to order

Glass Etching of Las Vegas. Place Your Order at: 702-591-1552

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Glass Slipper Order Form

Thank you very much for your order. We want to fill your order accurately. This form helps us avoid misunderstandings. Please fill out the order form below completely

Contact Name:

Company Name :

Shipping Address :

No P.O. Box Please

City:

State:

Zip:

Phone:

Fax:

Payment Method:

No Debit Cards Please

Name On Credit Card:

Credit Card Number:

Expiration:

Security Number:

QTY	Glass Slipper Size

Inscription (27 characters & spaces Maximum for each line )
Line 1 (Free)
Line 2 (Free)
Line 3 (Free)
Line 4 for 8" slipper only (Add $15.00 )
Line 5 for 8" slipper only (Add $15.00 )

I agree this is a confirmed order and cannot be canceled.
8.25% sales tax will be added for California residents.
$18.00 Packing, handling and shipping charges for UPS Ground Delivery

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