Shipping Costs are $______ + Item cost of $ ________ or a total cost of $___________.
Check or Money Order payable to: Delmatto Glass
Please Type or Print CLEARLY:
Name: ________________________________
Address: ______________________________
City: __________________________________
State: __________ Zip: ___________________
Phone: (_____)_______________
Date: _________________________
Mail to: Del Matto Blown Art Glass
32201 Logan Horns Mills Road
Logan, Ohio 43138
Thank you for your order.
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