PRINTABLE ORDER FORM
Jack Wallis Cabinet Art Glass
2985 Butterworth Road
Murray, KY 42071
Phone 270-489-2613
24 Hr. Fax Line 270-489-2187
Web Site:  www.wallisstainedglass.com
SOLD TO:
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Phone:_____________________
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SHIP TO:
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Invoice #  
Invoice Date  
Account #  
P. O. #  
 
QTY. Cat.# or
Glass Texture
Width Height Square
Feet
Price
Per Sq. Ft.
Price
Per Panel
Metal Finish Add 20% Brass
Copper or
Stainless
Total
Price Each
Total
Amount
                     
                     
                     
                     
                     
                     
                     
                     
 
Per Square Foot Prices, Minimum order (1) one square foot.
Minimum Packaging/Boxing Fee: $12.50

 

WE ACCEPT VISA AND MASTERCARD

SUBTOTAL  
KY RESIDENTS ADD 6% SALES TAX  
PACKAGING/BOXING  
UPS  
TOTAL  
DEPOSIT  
BALANCE TOTAL  
SPECIAL INSTRUCTIONS