Order Form


If you experience problems with this order form, please print and fax or provide all the relevant information in an e-mail.

Your order will be confirmed by e-mail with your costs and a proof copy.

  1. Please provide the following product information:

    Product Name

    Item Number

  2. How many?


  3. I need it by:


  4. Would you like to send us a graphic?

    Yes No

  5. Would you like to receive graphic suggestions?

    Yes No

  6. What do you want engraved?


  7. Do you have a preferred font style(s), mood (ie. formal, casual etc) or would you like us to choose?


  8. Choose one of the following layout options:


  9. Do you have any additional information, comments or requests?


  10. Please provide the following contact information:

    First Name
    Last Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    FAX
    E-mail

  11. I have a courier account (Please enter information in payment area)

    Yes No

  12. Enter Credit Card type, number and expiry date or advise if sending information separately, a cheque or money order. Please be advised that providing us with this information authorizes us to charge your account for the costs quoted, including shipping (unless a courier account is provided)


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Copyright © 2001 Cutting Edge Glass Inc.  All rights reserved.
Revised: 11/01/04