Glass heart request form

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I would like to request some glass hearts from BCGC to give to the helpers out there!

We ask you to make a minimum donation of $2-3 per heart in order to help keep BCGC funded during these difficult times, as well as to pay for the materials and time involved in creating each unique heart. We encourage you to then share hearts with the helpers out there to thank them and raise their spirits. If you would like your hearts shipped, please add $6 for postage to your donation.

To make a donation click on the "donate" button at the bottom of this link and it will take you to our Paypal page. Thank you! http://bloomingtoncreativeglasscenter.org/support-us.html

There is a minimum 24 hour turnaround which allows us time to make your hearts. It might take up to a week depending on our kiln schedules. We will contact you to confirm your order and to arrange delivery/pick up/mailing.

Name *

Email *

Phone number *

I would like this many hearts. Please provide number. Due to a high request volume, we ask that you limit yourself to no more than 35 per request. *

How will you get the hearts? *

I need the glass shipped (fill out the next question please). Please add $6 to your donation to cover shipping.

I live locally. Would you be able to deliver it? (fill out the next question please)

I would like to pick the glass up from BCGC

Other:

Street address

City, State, ZIP

Special instructions, or anything you would like us to know.

Thank you for supporting the arts here in Bloomington and looking out for your community.

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