REPLACEMENT ITEM ORDER FORM |
|
| The vacuum liner
is replaceable. Remove all glass and retain the LID. Complete the following
form and the shipping information at the bottom of this page. Send this form,
the empty cup/mug shell(s) and your check for the full amount to: G & L CUPS and MUGS Replacement and delivery is within 5-7 business days. |
|
| Quantity: _____ The CUP @ $10.00 | ______ |
| Quantity: 1 The MUG @ $10.00 | 10.00 |
| Shipping/Handling
(1 item): * (Add $1.00 for each add'l. item) |
5.50 * |
| (California Only) Sales Tax: | ______ |
| TOTAL: | 15.50 |
SHIPPING INFORMATION
BUYER INFORMATION |
|
|---|---|
| Name: | Philip Karras |
| Company: | ______________________________________________________ |
| Address: | 3305 Hampton Ct |
| City: | Mt. Airy |
| State: | MD |
| Zip: | 21771-7201 |
| Country: | ______________________________________________________ |
| Phone: | 301-831-5073 |
| Fax: | ______________________________________________________ |
| E-mail: | ke3fl@yahoo.com |
SHIP TO ADDRESS (if different from buyer) |
|
|---|---|
| Name: | ______________________________________________________ |
| Company: | ______________________________________________________ |
| Address: | ______________________________________________________ |
| City: | ______________________________________________________ |
| State: | ______________________________________________________ |
| Zip: | ______________________________________________________ |
| Country: | ______________________________________________________ |
G & L CUPS and MUGS
15931 Lava Way
Westminster, CA 92683-7331
PHONE/FAX: (714) 531-2908
Website: http://www.glcupmug.com
E-MAIL: glcupmug@glcupmug.com
Website by Absolute
Magic Computers/Internet