Cut Glass Order

Cut single glazed Glass/Mirror order

Please note this is the order form, not quotation and by submitting submit you are entering into a contract to purchase the goods. For none account holding customers we will contact you to arrange payment
If you require muliple types of glass please complete the form for each type.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Preferred method of contact*

TelephoneEmail
Company
Order Number if applicable
Date required*

MonthDayYear
Date
Glass Type*
Glass Thickness Laminated
Toughened/Laminated thickness*
Float thickness*
Wired Type*
Mirror Thickness*
Toughened Glass Type*
Fire Rating*
Tint colour*
Polished edges*
Holes required*
Hole quantity*
Hole Diameter (mm)*
Any Cut Outs*
Quantity of cut outs*
Mirror Backing
Pane 1
Width (mm)*
Height (mm)*
Quantity*
Shape*
Add more panes below or click submit
Any drawings that may assist us

Browse Files

Cancelof
Any notes with regards to your enquiry
Pane 2
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 3
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 4
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 5
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 6
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 7
Width (mm)
Height (mm)
Quantity
Shape
Add more panes below or click submit
Pane 8
Width (mm)
Height (mm)
Quantity
Shape
Should be Empty:

Cut single glazed Glass/Mirror order