Printable Order Form

Mail Form To:

Contois Reynolds Stained Glass Magic Studio 1501 Trace Creek Road, Hamlin, WV  25523 Phone: 304.824.5651  (10am - 8pm EST) http://www.stainedglassmagic.com/orderform.html

Name
Address
City
State		ZIP
Phone		E-mail

Item NAME	Color	Price Each	Quantity	Total
Click [HERE] to determine shipping...				$
Date of Order:			Total Due $

Please make checks or money orders payable to CONTOIS REYNOLDS
Charge cards accepted: Visa, MasterCard, Discover, American Express
Credit Card #
Exp. Date:		CVS #:
Signature

• [  ] Check here if you wish item to be shipped to address other than indicated above  ... please write person's name and their shipping address on the back of this form.
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