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  GLASS VESSEL STAND ORDER FORM

The Glass Art Vessel stand includes a fully assembled stand, and (7) vessel bowls of your choice.
In order to properly order your stand, we ask for the following information.


  Company Name:


  BILLING ADDRESS:
  Name:
  Address:
  City/State/Zip:    


  SHIPPING ADDRESS: 
  Name:
  Address:
  City/State/Zip:    


  Telephone:       
  Fax:



ORDER INFORMATION

Purchase Order Number: 
 
The Glass Art Vessel stand is available at the promotional price of $850.00. Order will not be processed until complete payment information is received and processed. Expect at least 4 days for delivery. You will be notified within several hours to get the your payment information. 
 
  (1) MODEL#:   
  (2) MODEL#:   
  (3) MODEL#:   
  (4) MODEL#:   
  (5) MODEL#:   
  (6) MODEL#:   
  (7) MODEL#:   
 
  ALL ORDERS WILL BE CONFIRMED VIA FAX.
  PLEASE CALL IF YOU DO NOT RECEIVE CONFIRMATION WITHIN SEVERAL HOURS.





 

    PRO-MAT Distribution Company
    28 Indian Trail Road, Unit 106
    Cape May Court House, NJ 08210
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