Gustin Ceramics

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Gustin Ceramics Tile Production

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Order Form

Gustin Ceramics Tile Production

Please print and fill out this form and send to: Gustin Ceramics Tile Production, 231 Horseneck Road, South Dartmouth, MA 02748. Or fax to (508) 636-5099. This form is also available as a PDF.

We now accept Visa, Mastercard and Discover cards. Simply call in your card number to our office.

Contact Information

Contact name:

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Contact phone:

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Contact company:

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Date:

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P.O. number:

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Billing Address

Name:

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Address:

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City:

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State:

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Zip:

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Telephone:

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Fax:

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Email:

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Shipping Address

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Quantity Tile Size Glaze # Price per tile Total
         
         
         
         
         
         
         
         
         
         
         
Subtotal  
5% sales tax (Massachusetts orders only)  
Total*  
50% Deposit Due  

*Please remember that shipping costs will be added to this total, based on the quantity of tile ordered and the shipping method selected.





 © Copyright 2000 Chris Gustin