Bud Vase Order Form


Some Glass colors available:
Standard Opalescent colors: Dk Blue / Lt Blue / Dk Green / Lt Green / Pink / Yellow / Gold / Rust / Lt Purple / Dk Purple / White / Black / Grey / Pink+Blue / Green+Blue

Iridescent Colors: Med. Blue / Lt Blue / Grey / Pearl / Pink /Lt Green / Peach / Red

Since not all colors are always available
Please select a couple of extra alternate colors for each style vase.


Vases:

  Long Vase:  Color(s): 
   				Quantity: X  $12  =  Total:$
Diamond Vase: Color(s): Quantity: X $10 = Total:$
Dragonfly: Color(s): Quantity: X $15 = Total:$
Hummingbird: Color(s): Quantity: X $15 = Total:$
Hearts & Flowers: Quantity: X $15 = Total:$ Sunflower Bloomers Quantity: X$8.50 = Total:$ Orchid Bloomers Quantity: X$8.50 = Total:$ If Ordering Less than 4 Vases....Add Shipping + $6.00 Grand Total:$

Ship To: (Skip this if shipping to purchaser) Name: Address: City: State Zip e-mail:

All below entries are "Required"
Purchased By: First Name: MI: Last Name: Address: City: State Zip e-mail: Phone:

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