Order Form
Mail or Fax to:
Gray's Glasswerks
311 Willow Street
PO Box 23
Adamstown, PA 19501
Ph:(717)484-0339
Fax:(717)484-4288
glassart@grayglass.com
www.grayglass.com
| Bill To: | Ship To: Name _________________________ Address _______________________ Address _______________________ City _____________ St __ Zip ______ |
| Item # | Description | Qty | Unit Price | Total | |
| Charge To: Discover __ American Express__ Card # _____-_____-_____-_____ Exp. Date ___/___ Name (as printed on card) ___________________ Order Date: ___/___/___ Pay By: Check____ Check # ____ Money Order __ E-mail Confimation: Y___ N___ E-mail Address: _________________________________ | Item Total | ||||
| PA Sales Tax Add .06% | |||||
| Subtotal | |||||
| Shipping | |||||
| Grand Total | |||||
Under $49.99 FREE
$50-74.99 Add $10.75
$75-99.99 Add $13.50
$100-149.99 Add $16.00
$150 & Up Add 10% ($34.95 max)
Thank you for your order.
Orders are taken either by:Ordering online at our store: Use our shopping cart, which is 100% secure, to place your order over the Internet. Or by faxing us this completed Order Form at (717)484-4288. Or you may call us at (717)484-0339 9:00-7:00 weekdays,9:00-2;00 Saturday (Eastern Time)office is closed Sundays. Please have credit card and order information ready.
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