All Things Glass
Alternative Ordering Form

Please fill out this form and either email it to us or print it out and snail mail or fax it to:

All Things Glass
PO Box 560434
Miami, FL 33256-0434

email: info@AllThingsGlass.BIZ
phone:305-607-5899 (Bobbie) or 305-338-4646 (Kathryn)
Fax: 305-253-6582

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
SHIPPING (if different from billing address)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Desired Delivery date:

-- mm/dd/yy

Please provide the following ordering information:

BILLING
Purchase Order #
Account Name
QTY DESCRIPTION/Cost

Select any of the following options that apply:

Please Gift Wrap (additional charges will apply)
Contact me about my shipping options
Contact me about creating a custom piece

Would you like to be added to our preferred client list?


Comments or suggestions: