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<title>Corporate Awards etched Crystal awards Los Angeles</title>
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      <h1 align="center" class="CPprodDescDet"> - Crystal Awards & Trophies</h1>
      
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      <div align="center"><font color="#000000"><b><font color="#FFFFFF">Custom 
        Glass Etching of Los Angeles 626-576-5719 Las Vegas 702-591-1552</font></b></font></div>
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              <br>
              <a href="http://www.eagleawardsusa.com">Bronze Eagle Awards<br>
              </a><a href="http://www.giftsandmoreusa.com">Crystal Gifts </a><br>
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          <td nowrap align=center class="CPbox2H"> <b>What's New</b> 
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          <td class="CPbox2B"> 1. <a href="http://www.glassetcher.com/store/scripts/prodView.asp?idProduct=969" title='Waterjet Cutting Crystal - Gear'">Waterjet Cutting Crystal - Gear</a><br>2. <a href="http://www.glassetcher.com/store/scripts/prodView.asp?idProduct=968" title='Waterjet Cutting Crystal - United States'">Waterjet Cutting Crystal - United States</a><br>3. <a href="http://www.glassetcher.com/store/scripts/prodView.asp?idProduct=967" title='Waterjet Cutting Crystal - Texas'">Waterjet Cutting Crystal - Texas</a><br>4. <a href="http://www.glassetcher.com/store/scripts/prodView.asp?idProduct=966" title='Waterjet Cutting Crystal - California'">Waterjet Cutting Crystal - California</a><br>5. <a href="http://www.glassetcher.com/store/scripts/prodView.asp?idProduct=965" title='Waterford - Metropolitan Vase'">Waterford - Metropolitan Vase</a><br> </td>
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        is a SSL secured page for your protection</font>.</b></td>
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      <TD colspan=2 height="2">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. <b><br>
        Please click the Send button at the bottom when you are ready to submit 
        the form.<br>
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      <TD nowrap width="35%"><strong>Billing Phone: </strong></TD>
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        <input name=email type=text id="email" size=50 maxlength="50" tabindex="15" value="">
      </TD>
    </TR>
    <TR> 
      <TD nowrap width="35%"><b>Date Needed:</b></TD>
      <TD width="65%"> 
        <input name=date type=text id="date" size=15 maxlength="15" tabindex="16" value="">
      </TD>
    </TR>
    <TR> 
      <TD nowrap width="35%"> <strong>Payment Method:</strong></TD>
      <TD width="65%"> <font color="#FF0000"> <font face="Arial, Helvetica, sans-serif"> 
        <select name="Payment_method" id="Payment_method" tabindex="17">
          <option value="">Select Credit Card</option>
          <option value="American Express" >American 
          Express</option>
          <option value="Mastercard" >Mastercard</option>
          <option value="Visa" >Visa</option>
          <option value="Discovery" >Discovery</option>
        </select>
        <b>No Debit Cards Please</b></font></font></TD>
    </TR>
    <TR> 
      <TD nowrap width="35%" height="11"> <strong>Credit Card Number:</strong> 
      </TD>
      <TD width="65%" height="11"> 
        <input name=card_number type=text id="card_number" size=30 maxlength="70" tabindex="18" value="">
        <b><font face="Arial, Helvetica, sans-serif" color="#FF0000">Or Call 626-576-5719</font></b></TD>
    </TR>
    <TR> 
      <TD nowrap width="35%"><strong> Expiration: </strong></TD>
      <TD width="65%"> 
        <input name=Experation type=text id="Experation" size=30 maxlength="70" tabindex="19" value="">
      </TD>
    </TR>
    <TR> 
      <TD nowrap width="35%"><strong> CCID#: </strong></TD>
      <TD width="65%"> 
        <input name=Security_number type=text id="Security_number" size=10 maxlength="10" tabindex="20" value="">
      </TD>
    </TR>
    <TR> 
      <TD nowrap width="35%">&nbsp;</TD>
      <TD width="65%"><b>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.)</b> </TD>
    </TR>
    <TR> 
      <TD valign="top" nowrap height="97" width="35%"><strong>Remarks:</strong></TD>
      <TD height="97" width="65%"> 
        <textarea name="remarks" cols="50" rows="5" tabindex="21" id="remarks"></textarea>
        <br>
        <font color="#FF0000"><b>Remarks are unformated text. Please do use remark 
        for your inscription text. Please send your inscription text with file 
        and image upload.</b></font></TD>
    </TR>
    <TR> 
      <TD nowrap width="35%">&nbsp;</TD>
      <TD width="65%">&nbsp;</TD>
    </TR>
    <tr> 
      <td height="15" colspan="2"><b><a href="/imagereq/image_req.asp"><b><font color="#0000FF">Artwork 
        Requirement</font></b></a><br>
        Please use the Browse button to locate your image file or text file in 
        your computer.</b></td>
    </tr>
    <tr> 
      <td width="35%"><strong>Attach Image/text File</strong></td>
      <td width="65%"> 
        <input name="file" size="20" tabindex="22" type="file">
      </td>
    </tr>
    <tr> 
      <td width="35%"></td>
      <td width="65%"> 
        <input name="file2" size="20" tabindex="22" type="file">
      </td>
    </tr>
    <tr> 
      <td width="35%"></td>
      <td width="65%"> 
        <input name="file3" size="20" tabindex="22" type="file">
      </td>
    </tr>
    <tr> 
      <td width="35%"></td>
      <td width="65%"> 
        <input name="file4" size="20" tabindex="22" type="file">
        <b><font color="#FF0000"><br>
        </font></b></td>
    </tr>
    <TR> 
      <TD nowrap width="35%">&nbsp;</TD>
      <TD width="65%">&nbsp;</TD>
    </TR>
    <TR> 
      <TD colspan="2" nowrap><strong>Items</strong></TD>
    </TR>
    <TR> 
      <TD colspan="2" nowrap> 
        <table border="0" cellspacing="1" cellpadding="1" bordercolor="#000000" width="49%" >
          <tr> 
            <th scope="col" width="6%"> 
              <div align="left"><strong>QTY </strong> </div>
            </th>
            <th scope="col" nowrap width="19%"> 
              <div align="left"><strong>Item Number</strong></div>
            </th>
            <th scope="col" nowrap width="27%"> 
              <div align="left"><strong>Trophy Name</strong> </div>
            </th>
            <th scope="col" width="48%"> 
              <div align="left"><strong>Remark/Size</strong> </div>
            </th>
          </tr>
          <tr> 
            <td width="6%"> 
              <input name=Qty1 type=text id="Qty1" size=3 maxlength="10" tabindex="23" value="">
            </td>
            <td width="19%"> 
              <input type="text" name="Item_Name1" size="20" id="Item_Name1" tabindex="24" value="" maxlength="30">
            </td>
            <td width="27%"> 
              <input type="text" name="Item_Description1" size="30" id="desc_1" tabindex="25" value="" mexlength="60" maxlength="40">
            </td>
            <td nowrap width="48%"> 
              <input type="text" name="Item_comment1" size="20" id="comment_1" tabindex="25" value="" mexlength="60" maxlength="40">
            </td>
          </tr>
          <tr> 
            <td width="6%"> 
              <input name=Qty2 type=text id="Qty1" size=3 maxlength="10" tabindex="26" value="">
            </td>
            <td width="19%"> 
              <input type"text" name="Item_Name2" size="20" id="Item_Name2" tabindex="27" value="" maxlength="30">
            </td>
            <td width="27%"> 
              <input type="text" name="Item_Description2" size="30" id="desc_2" tabindex="28" value="" mexlength="60" maxlength="40">
            </td>
            <td nowrap width="48%"> 
              <input type="text" name="Item_comment2" size="20" id="comment_2" tabindex="25" value="" mexlength="60" maxlength="40">
            </td>
          </tr>
          <tr> 
            <td width="6%"> 
              <input name=Qty3 type=text id="Qty2" size=3 maxlength="10" tabindex="29" value="">
            </td>
            <td width="19%"> 
              <input type="text" name="Item_Name3" size="20" id="Item_Name3" tabindex="30" value="" maxlength="30">
            </td>
            <td width="27%"> 
              <input type="text" name="Item_Description3" size="30" id="desc_3" tabindex="31" value="" mexlength="60" maxlength="40">
            </td>
            <td nowrap width="48%"> 
              <input type="text" name="Item_comment3" size="20" id="comment_3" tabindex="25" value="" mexlength="60" maxlength="40">
            </td>
          </tr>
          <tr> 
            <td width="6%"> 
              <input name=Qty4 type=text id="Qty4" size=3 maxlength="5" tabindex="32" value="">
            </td>
            <td width="19%"> 
              <input type="text" name="Item_Name4" size="20" id="Item_Name4" tabindex="33" value="" maxlength="30">
            </td>
            <td width="27%"> 
              <input type="text" name="Item_Description4" size="30" id="desc_4" tabindex="34" value="" mexlength="60" maxlength="40">
            </td>
            <td nowrap width="48%"> 
              <input type="text" name="Item_comment4" size="20" id="comment_4" tabindex="25" value="" mexlength="60" maxlength="40">
            </td>
          </tr>
        </table>
        <b><font color="#FF0000">Be sure your artwork is sent with your order.</font></b></TD>
    </TR>
    <TR>
      <TD nowrap colspan="2"><b><font color="#FF0000">I have read the <a href="http://www.glassetcher.com/store/scripts/policy.asp">Policy</a> 
        page. I agree this is a confirmed order and cannot be cancelled.</font></b></TD>
    </TR>
    <TR> 
      <TD nowrap colspan="2"><b></b></TD>
    </TR>
    <tr> 
      <td width="35%">CAPTCHA Image</td>
      <td width="65%"><img id="imgCaptcha" src="captcha.asp"  width="250"/><br />
        <a href="javascript:void(0)" onclick="RefreshImage('imgCaptcha')">Change 
        Image</a> </td>
    </tr>
    <tr> 
      <td width="35%">Please enter the characters in the image above</td>
      <td width="65%"> 
        <input name="captchacode" type="text" id="captchacode" size="10" />
        <font color="#FF0000"><b>(UPPER CASE ONLY)</b></font></td>
    </tr>
    <TR> 
      <TD colspan=2>&nbsp;</TD>
    </TR>
    <!-- Button -->
    <TR> 
      <TD colspan=2> 
        <input type="submit" name="Submit" value="Send">
      </TD>
    </TR>
    <TR> 
      <TD colspan=2>&nbsp;</TD>
    </TR>
    <td width="19%"> 
    <td width="19%"> 
  </form>
</TABLE>
</td></tr>
</table>
<br>

    </td>
    <!-- Main Shopping Cart Area -->
  </tr>
</table>

<!-- Draw line at the bottom -->
<img src="../UserMods/misc_cleardot.gif" border=0 width=1 height=8>
<table class="CPbox1" align="center" border="0" cellspacing="0" cellpadding="0" width="760">
  <tr> 
    <td align="center" class="CPgenHeadings"> <img src="../UserMods/credit_cards.jpg" width="130" height="23"><a href="https://glassetcher.secure.gearhost.com/store/scripts/contactus2.asp">Order 
      Form</a></td>
  </tr>
  <tr> 
    <td class="CPgenHeadings"><table class='CPbox1' border= '0' color='black' cellspacing=0 cellpadding=0 width= '' ><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=93" title='Bases'">Bases</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=82" title='Best Buy Special'">Best Buy Special</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=106" title='Catalog #1 Detail'">Catalog #1 Detail</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=97" title='Catalog #2 Detail'">Catalog #2 Detail</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=94" title='Catalog #3 Detail'">Catalog #3 Detail</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=96" title='Catalogs (Pictorial)'">Catalogs (Pictorial)</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=83" title='Corporate Award'">Corporate Award</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=78" title='Corporate Trophies'">Corporate Trophies</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=62" title='Crystal Corporate Awards'">Crystal Corporate Awards</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=91" title='Crystal Desk Accessories'">Crystal Desk Accessories</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=57" title='Crystal Eagles'">Crystal Eagles</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=84" title='Crystal Figurines'">Crystal Figurines</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=88" title='Crystal Globe Awards'">Crystal Globe Awards</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=95" title='Crystal Name Plates'">Crystal Name Plates</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=89" title='Crystal Star Awards'">Crystal Star Awards</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=90" title='Crystal Trophies'">Crystal Trophies</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=87" title='Custom Crystal'">Custom Crystal</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=69" title='Etched Wine Bottles'">Etched Wine Bottles</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=68" title='Figurine, Crystal Figurine'">Figurine, Crystal Figurine</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=86" title='Football Trophies'">Football Trophies</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=61" title='Glass Slipper'">Glass Slipper</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=85" title='Glass Trophy Vases'">Glass Trophy Vases</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=81" title='Golden Ring Carriage'">Golden Ring Carriage</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=55" title='Golf Trophies'">Golf Trophies</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=92" title='Hand Blown Paperweights'">Hand Blown Paperweights</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=66" title='Paperweights'">Paperweights</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=80" title='Ship in a bottle'">Ship in a bottle</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=63" title='Soccer Trophies'">Soccer Trophies</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=67" title='Sports Ball Trophies'">Sports Ball Trophies</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=77" title='Trophy Bowls'">Trophy Bowls</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=53" title='Waterford Crystal'">Waterford Crystal</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=114" title='Waterjet Cutting Crystal'">Waterjet Cutting Crystal</a></td></tr><tr><tr><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=75" title='Wedding/Anniversaries'">Wedding/Anniversaries</a></td><td align='left' width = '200' align='center'><a href="http://www.glassetcher.com/store/scripts/prodList.asp?idCategory=56" title='World Globes'">World Globes</a></td><td></td><td></td></tr></table></td>
  </tr>
  <tr>
    <td class="CPgenHeadings">
<table width="100%" border="0" cellpadding="5" height="62">
  <tr> 
    <td height="56" valign="middle" width="829"> 
      
      <h1 align="center" class="CPprodDescDet">Custome Glass Etching</h1>
      
      <h5 align="center" class=CPprodDet>Crystal Corporate awards, Hole-in-one Golf Trophies</h5>
    </td>
    <td height="56" valign="middle" width="142"> 
      
      <div align="right"><img border="0" src="../../usermods/slipper.gif" alt="" width="100" height="120"> 
        
      </div>
    </td>
  </tr>
</table>
</td>
  </tr>
</table>

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