Stained Glass Order Form
Please provide the following information to receive an estimate for your project.
Your Information:
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Contact Method?
Please Select
Email
Text
Phone call
Project Details:
What is the theme of your project?
Project Description
Desired Size/Dimensions
Type of Piece
Suncatcher
Night light
Rearview Mirror Car Charm
Glass piece with wood base
Bookends
Plant Stake
Propagation Station
Corner Door Frame Hanger
Other
Budget Range
$50 - $150
$150 - $350
Not Sure
Inspiration photos? (Pinterest is a great place to look)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What day do you need your project completed by?
Additional Comments
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Should be Empty: