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GlassMask Order Form

*All fields are required unless indicated as optional.

1Name & Address
2Bill To:
3Deliver To:
4Delivery Address is...
5Select Color & Quantity
Prices are per gallon

# of CANS

Black GlassPaint

White GlassPaint

Green GlassPaint

Blue GlassPaint

Clear GlassPaint

6Shipping Options

For Same day shipping, orders must be received before noon (Eastern Daylight Time). Shipping costs are approximate and depend upon quantity.

Please select from:

UPS ground delivery truck

• 3-4 business days delivery time
• $15-$25 per gallon shipping
• If you do not provide your UPS account# the UPS shipping charges will automatically be applied to your credit card

UPS air delivery

$90-$120 per gallon shipping

$80-$100 per gallon shipping

$60-$80 per gallon shipping

FedEx Air Delivery

$90-$120 per gallon shipping

$80-$100 per gallon shipping

$60-$80 per gallon shipping


Attention sign

• GlassMask freezes in cold weather and is rendered permanently unusable.

• During cold weather we recommend using Overnight Delivery to protect GlassMask from freezing.

• We are not responsible, or liable, for delivered shipments that are rendered unusable from freezing.

7Credit Card Details (Optional)

After pressing SUBMIT ORDER you will receive an email confirmation of your order and its details