MAIL or FAX completed order form to:
GlassTatz.com
946 Calle Amanecer
Unit L/M
San Clemente, CA 92673
Or Fax It To: 1-949-366-6070
PAYMENT INFORMATION - Checks payable to GlassTatz
Name:
Address:
City: State: Zip Code:
Phone: E-Mail:
Credit Card Number:
 
_____ / _____ / _____ / _____
Expiration Date:
 
___ / _____

PRODUCT INFORMATION
Description
Qty.
Price
Total
       
       
       
       
       
       
SHIPPING INFORMATION
USPS - GROUND = $9.95
FED EX = $23.95

No matter how many Tatz you order, shipping is always one low rate!
SubTotal  
Tax 8% - CA. Only  
Shipping  
Total  
 
SHIPPING INFORMATION - (If Different from Payment info)
Name:
Address:
City: State: Zip Code:

SIGNATURE
By signing this form you agree that (1) you are the credit card holder listed (2) that you are requesting the products listed above and (3) that you are authorizing this card to be charged by IN-concept, Int. for the total of your purchase.

Signature: _______________________________ Date: __________________
 

Thank you for your business.