Blue Elephant Glass Order Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please use this form to order any of the in- stock items on the SHOP page of my website.

Please understand that CUSTOM ORDERS are handmade and can take up to 2 weeks to be delivered*

*If I am unable to fulfill an order within two weeks, I will contact you to see if you would like to cancel your order or if you are able to wait for the soonest possible delivery/pick up date.

Name (First and Last) *

Phone Number *

email address *

Address *

Payment *

Cash on Delivery/Pick up

Credit Card link on website

What would you like to order? (Delivery within a mile radius of East Grand Rapids)

Custom order from "GALLERY" section of Blue Elephant Website-Please Describe Below

Item from the "SHOP" section of Blue Elephant Website-Please Describe Below

Using the caption below the picture on the website, please describe what you would like to order. *

I understand that if you are outside of a 1 mile radius from East Grand Rapids, you will need to pick up your item or additional cast for postage will be added. *

Yes, I understand

Comments

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms