Plate Glass Pricing Request form
to the Internet Glass Request and Order Form. For all your Glass needs, please fill out this form
the best you can, and REMEMBER your are under no obligation to buy anything.
Please include a detailed description and quantity amount of what you need.
This will help us greatly. Once you are finished
press the Submit Button below, a Glass shop nearest you will be contacted. After that
depending how you choose to be reached, the Glass Provider will contact you regarding your
inquiry. If you have an Auto Glass need please click the banner above you to return to our
home page for all the other services we offer.
What Glass Product are you in
What is the Thickness
of the glass you need?
Don't Know 1/16 inch 1/8 inch 5/32 inch 3/16
inch 1/4 inch
3/8 inch 1/2 inch 5/8 inch 3/4
What Application will you be
using the Glass for?
Table Top Decorative Mirror Bathroom Mirror Shelves Windows
Picture Frame Office Encasement Fireplace Cabinets Security
Shower Encasement Art Other
What Shape will the Product
Square Rectangle Triangle Oval Racetrack Oval
Circle Odd Shape Other
What is the approximate size
that you require?
SIZE: all we need is the approximate
Now we need some Information
to Identify You.
* is not a required field
How will payment be handled?
I just need
Will be billing my
Will be Paying Myself
I am a Contractor
I am a Commercial Buyer
I am a Retail Buyer
Please ship me the part
How do we contact you with
Please call me
Please call me a Work
Send me the info
Please Fax me the
How did you come across our
Don't Know Yahoo Excite Overture Google
AOL Lycos Link
Exchange Banner Ad Other Search Engine
Please now make some special
comments about your Glass Needs.
That would include
and or additional sizes. The more descriptive
you are the better we can
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10992, all rights reserved
December 19, 2012