If you prefer not to use PayPal's shopping cart, or if you have
special-request questions, please fill out this form instead.
Please contact us immediately if you have any questions or problems.
Phone - 952-541-5667  /  E-Mail:  Debra's Glasscraft

If you would prefer, you can also fax this order form to us at 952-541-5667,
e-mail it to us at Debra's Glasscraft, or mail it to us at:
 10300 Lakeview Drive West, Minnetonka, MN  55305
Please print out and save a copy for your own records.
Ordered By: Today's Date: -- mm/dd/yy
Street Address:
Street Address 2: City:
State: Zip Code:
Country Phone Number:
E-Mail Address:
Is This A Gift?   (Y/N) Date Needed:
 
Ship-To Information (if different from above information)
Ordered By:    
Street Address:
Street Address 2: City:
State: Zip Code:
Country Phone Number:

 
Ordering Information  (Please fill out all categories, as applicable, for each item):
SAMPLE ORDER

1

15 oz Sport Mug

Best Man - Eric - October 20, 2000

n/a

15.45

15.45
Qty. Item Engraving Design Price Total

Additional Comments or Instructions:

Shipping Costs:
 UP to $14.99          $5.95
$15 to $24.99          $6.95 
$25 to $34.99          $7.95 
$35 to $49.99          $8.95 
 $50 to $74.99         $10.95 
 $75 to $99.95         $12.95 
$100 to $149.99         $13.95   
 $150 or more         $15.95		 Subtotal:
(if applicable) MN Tax 6½%:
(if applicable) WI Tax 5%:
(if applicable) City or County Tax:
Shipping:
Order Total:

Shipments to Alaska, Hawaii, and Puerto Rico, add an additional $7.50 to the above rates.
For Canada, add an additional $15.00 to the above rates.
 

I have enclosed the following:                   (if mailing order)

Method of Payment:
   Billing Preference:
   Name on Card:
   Credit Card #:
   Expiration Date:
   Signature:    (if faxing or mailing order)

All pricing is in U.S. dollars only.

Please allow 2 weeks for delivery.  Thank you.

Rush orders accepted with prior approval, please e-mail for rush delivery pricing and schedule.

Note:  If paying by check, please allow 2 weeks to clear.  Make checks payable to Debra McDonnell.


 
Telephone/Fax:  952-541-5667
E-Mail:  webmaster@debrasglasscraft.com

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