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Wedding Glass Order Form

Customer Name: 
Contact: 
Address: 
Address: 
City/State/Zip: 
Email Address:
Phone Number: ( 
Fax Number To Fax Artwork: ( 
Best Time To Contact You:
Order Instructions:
Date Wanted:
Please enter as
month/day/year

(Please order in multiples of 12 glasses.)

Bride & Groom's Name:
Married Name:
Wedding Date:
















IMPRINT COLOR

Black

Red

Green

Peach

Lt. Blue

Pink

Royal Blue

White


G15

G20

G25

G30

G35

G40

G45

G50

Your Contact Information:

A Griffith Pottery House Customer Service Specialist will
contact you with a finished copy of your artwork for your
approval before your glasses are created. This way, we can
assure your complete satisfaction with your order! 




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Griffith Pottery House, Inc. 215-887-2222 Copyright © 1999-2007. All Rights Reserved.