MAIL IN or FAX ORDER FORM (please print)
| Name: |
| Address: |
| City/State/Zip: |
| Phone: Fax: |
| Email: |
|
QTY- ORDERED |
ITEM CODE | DESCRIPTION | UNIT PRICE | EXTENDED PRICE |
|
+ Shipping |
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|
+ Tax |
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|
TOTAL |
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When sending your order via Email or Fax, you can include your phone no and we can call you for your Credit Card Number.
Mail to: Helen & Phil Rosso Wholesale Glass Dealers, Inc.
1725 Trimble Avenue · Port Vue, · Pennsylvania · 15133
PHONE: (412) 672-0774 or (412) 672-0652 · FAX: (412) 672-0593