detroit glass company
1360 bishop road, grosse pointe park, mi 48230
phone/fax: 313.881.4893
e-mail: detroitglassco@att.net
http://www.detroitglasscompany.com
Print this form and fax or mail your order to us.
Questions? Contact us!
leslie ott & elizabeth westerman

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We accept MASTERCARD, VISA, AMERICAN EXPRESS and prepayment by check.  Shipping charges are as
follows:
  • Add 15% to cover shipping on any order over $50 any order under $50 add $10 for shipping
Check *
Charge
C.O.D.
Other
  Credit Card Number:
Exp.
   
Name:
   
Authorization Number:
   
* Make checks payable to Leslie Ott or Elizabeth Westerman
Quantity
Description
Unit Price
Amount
       
       
       
       
       
       
       
       
       
    Subtotal:
    Shipping:
    TOTAL:
Terms: The above order is subject to the following terms and conditions: buyer agrees that this order cannot be cancelled;
wholesale orders (w/prior approval) - payment is due within 30 days of shipment; late payments shall accrue interest at the
rate of 1% of the unpaid balance per month.

_______________________________________________________________
Authorized Signature:
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