Printable Order Form


Mail
Form
To:

Contois Reynolds Glass Studio
1501 Trace Creek Road, Hamlin, WV 25523

Phone: (304) 824-5651 or (800) 218-6185

Name
Address
City
State ZIP
Phone E-mail

Item Name or Number Quantity Price Each Shipping Total
Date of Order: Total Due $

Payment by: Visa, MasterCard, Check or Money Order
Credit Card # Exp. Date:
Signature

Check here [  ] if you wish item to be shipped to address other than indicated above ... please write desired shipping address on back of form. Thank you for your order ... Enjoy!

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