/ Glass Slippers Order form

- Glass Slippers Order form

- Please fill the following form to order


Custom Glass Etching of Los Angeles 626-576-5719 Las Vegas 702-591-1552
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What's New

1. 2008 Catalog 2, page 79
2. 2008 Catalog 2, page 78
3. 2008 Catalog 2, page 77
4. Custom Made Crystal Cow Boy Boot
5. Soccer Ball

Glass Slipper Order Form This is a SSL secured page for your protection.

Thank you very much for your order. We want to fill your order accurately. This form helps us avoid misunderstandings. Please fill out the order form below completely

Contact Name:

Company Name :

Shipping Address :

No P.O. Box Please

City:

State:

Zip:

Phone:

eMail:

Payment Method:

No Debit Cards Please

Name On Credit Card:

Credit Card Number:

Expiration:

CCID#:

As an added security measure, we ask that you enter an extra 3-4 digit number located on the back of your credit card, on or near the signature panel, called the CCID. (American Express customers have a 4 digit CCID located on the front of the card.)

QTY	Glass Slipper Size	Gold Filled Inscription ?

Inscription 30 characters maximum per line (a space is counted as a character)
Line 1 (Free)
Line 2 (Free)
Line 3 for 8" slipper only (Add $15.00 )
Line 4 for 8" slipper only (Add $15.00 )
Line 5 for 8" slipper only (Add $15.00 )

I agree this is a confirmed order and cannot be canceled.
8.25% sales tax will be added for California residents.
$18.00 Packing, handling and shipping charges for UPS Ground Delivery to
48 contiguous states only. Ground delivery usually takes 7-10 business days.
Please call 626-576-5719 for expedited services.