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1
Name
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First Name
Last Name
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2
Phone Number
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3
Email
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example@example.com
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4
Address
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Street Address
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City
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Alabama
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
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Haiti
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kiribati
North Korea
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Kosovo
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Laos
Latvia
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Liberia
Libya
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Lithuania
Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
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Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
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Nigeria
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Northern Mariana
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Palau
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Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
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South Africa
South Ossetia
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Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Which residence are you moving into?
Please Select
Martin
Deaton
Hefley
Burns
Luckyday
Minor
Pittman
RC South
RH1
RH2
RH3
Crosby
Brown
Stockard
Please Select
Please Select
Martin
Deaton
Hefley
Burns
Luckyday
Minor
Pittman
RC South
RH1
RH2
RH3
Crosby
Brown
Stockard
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6
Room Number
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This field is required.
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7
Burns / Luckyday / Minor / Pittman / RC South / RH1 / RH2 / RH3 Furniture
Desk Top - Glass
Desk Top - Mirror
Dresser Top - Glass
Dresser Top - Mirror
Nightstand Top - Glass
Nightstand Top - Mirror
Combo (Desk + Nightstand) 1 Piece - Glass
Combo (Desk + Nightstand) 1 Piece - Mirror
Other
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8
Martin / Deaton / Hefley Furniture
Desk Top - Glass
Desk Top - Mirror
Dresser Top - Glass
Dresser Top - Mirror
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9
Which Crosby room do you have?
Please Select
Standard
Room #_21 (RA Room)
Corner Room
Please Select
Please Select
Standard
Room #_21 (RA Room)
Corner Room
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10
Crosby Standard Furniture
Rounded Desk - Glass
Rounded Desk - Mirror
Bottom Shelf - Glass
Bottom Shelf - Mirror
Middle Shelf - Glass
Middle Shelf - Mirror
Top Shelf - Glass
Top Shelf - Mirror
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11
Crosby Room #_21 Furniture
Desk Top - Glass
Desk Top - Mirror
Nightstand - Glass
Nightstand - Mirror
Combo Top (1 Piece) - Glass
Combo Top (1 Piece) - Mirror
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12
Crosby Corner Room Furniture
Desk Top - Glass (Rounded Corner)
Desk Top - Mirror (Right Rounded Corner)
Desk Top - Mirror (Left Rounded Corner)
Desk Top - Glass (Square)
Desk Top - Mirror (Square)
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13
Brown Furniture
Desk Top - Glass
Desk Top - Mirror
Closet Top - Glass
Closet Top - Mirror
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14
Stockard Furniture
Desk Top 48" x 24" - Glass
Desk Top 48" x 24" - Mirror
Desk Top 42" x 24 1/4" - Glass
Desk Top 42" x 24 1/4" - Mirror
Dresser 36" x 24" - Glass
Dresser 36" x 24" - Mirror
Dresser 29 1/2" x 24 1/4" - Glass
Dresser 29 1/2" x 24 1/4" - Mirror
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15
Move-In / Pick Up Date
Orders will be ready for pickup at Southern Glass (1307 North Lamar)
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16
Need more than one?
If you're ordering multiple quantities of any item, please specify the quantities and item below. If you have any questions or need assistance with your order, feel free to contact us.
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17
Ready For Next Step?
Complete My Order
Request a Quote
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18
Estimated Order Total
Prices are shown in U.S. Dollars. Final payment will be collected through our secure payment system. If you would like
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