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Plastic & Acrylic Glassware Samples Order Form

We are happy to provide free samples of our glassware. However, we do ask you to help us with the shipping and handling costs of the sample(s). The below S&H charges are for US addresses, Alaska and Hawaii excluded. Please e-mail us for shipping costs outside US.

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American Express On-Line Guarantee

Est. 1982

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SPECIAL NOTICE: Due to the huge demand for just one Jumbo Martini glass to use as a decor or souvenir item we can no longer provide free samples of this glass. We will be happy to send you a Jumbo Martini glass sample, however it will be at our retail price of $32.31 plus $19.95 shipping and handling. We apologize for this inconvenience that is necessitated by surfer abuse of our free sample policy.

Just enter the sample(s) you would like on the form below. Most styles are in stock, in our samples
inventory. Samples are shipped Federal Express ES within 48 hours of receiving your order, if in stock.
Out-of-stock items will be special ordered in from the factory and shipped in a week to 10 days.

1st sample style

$19.95 S&H

$

2nd sample style

add $19.95 S&H

$

3rd sample style

add $19.95 S&H

$

4th sample style

add $19.95 S&H

$

Total for all samples (Please see our "Special Notice" above)

$

Last Name
First Name
Company Name:
Street

No P.O. Box please - We ship Express.

city
state
zip code
country
Telephone
e-mail

IMPORTANT - This is how we acknowledge your order

Special
Instructions
Any special instructions
or questions you may
have regarding this order

About our secure server for payment information

You may also submit your order by fax. Print out this form and fax it,
along with your Credit Card information to: 623 979-7162

Or, Snail-Mail your order to:
Az-restaurant Services, LLC, 6407 W. Mescal Street, Glendale, AZ 85304

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Updated April 2008