Referred By: (How did you hear about us?)
     

     Date:
     

     Date Required:
     

     Name:
     

     Address:
     

     Phone Number:
     

     Email Address:
     

     Ship To Address: (If different from above)
     

     Please fill out the fields below with desired item #'s and a brief description:
           
           
           
           
           
           

     Notes Section: (Please indicate any special requests here, or any added information.)
     

     

 

     - Thank you for your order.
     - We will email a confirmation within 48 hours after submitting this request.
     - We ship USPS priority or UPS Ground. Please specify in the notes section if you have a preference.
     - We accept PayPal, Checks, and Money Orders as forms of payment.
     - 50% deposit is required on all orders over $100.
     - California residents add 7.75% sales tax

      OUR GUARANTEE
      All items come with a lifetime guarantee. If it breaks, we can fix or replicate it from the pieces. Please save any broken
      pieces to send back to us. Email us with your name. We keep a file with a picture of your item just in case. All items are
      made with the highest quality with hard glass (similar to Pyrex). A service fee is applicable and varies depending on the
      nature of the repair.