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 *
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Charge
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C.O.D.
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Credit Card Number:
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Exp.
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Name:
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Authorization Number:
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* Make checks payable to Leslie Ott or Elizabeth Westerman
Quantity
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Description
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Unit Price
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Amount
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Subtotal:
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Shipping:
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TOTAL:
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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.
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Authorized Signature:
ship to:
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address:
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