NLM Glass Arts *
Phone/Fax: 1-866-311-1104

Order Form

Here's an order form you can print and fax to us. Please note: on faxes we require the credit card number, expiry date, cardholder name and signature plus telephone number.
If you choose to email any version of this form do not include credit card numbers or information in emails or email attachments, for your protection.

In using this form you consent to our privacy policy. For details see our privacy policy on this page: How to Order/Shipping

Name: Cardholder Name:
Shipping Address: Credit Card #
  Expiry Date: CSV:
City: Cardholder Signature:
Province/State and Country: Phone Number:
Zip/Postal Code: Order # and Date:
Email Address: Shipping Preference:

Item # Quantity Item Description, Color, Size Amount

Copyright © 2002-2015 NLM Systems Inc.
NLM Glass Arts is a division of NLM Systems Inc.

This page last updated: June 2, 2010