Stone Mountain Clay & Glaze Co.

 
4744F North Royal Atlanta Drive
Tucker, GA  30084
info@stonemountainclay.com
PHONE (770) 986-9011 / FAX (404) 492-7190
Yes, we are open to the public! 

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Order Form

ORDER FORM
Please submit via email or fax to 404-492-7190
NAME________________________________________________________________________________

SHIPPING
ADDRESS_____________________________________________________________________

__________________________________________________________________ Suite or Apt # _______

DAYTIME PHONE ______________
__________________  EVENING PHONE__________________________
EMAIL ADDRESS ____________________________________________________________________________________

PAYMENT INFORMATION:
BILLING NAME & ADDRESS
(if different from shipping): ____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

CREDIT CARD TYPE
(please circle) V   MC   AMEX   DISC  or CHECK ENCLOSED  (do not mail cash)

CARD NUMBER ___________________________________________________ 

EXP DATE _________________  VCODE __________
 ITEM NAME
 STOCK#  QTY  PRICE (EA)
PRICE (TOTAL)
         
         
         
         
         
         
         
         
         
         
         
         
         
       TOTAL:
 
Once your order has been submitted, you will receive an email or phone call confirming the order and your total with shipping and tax (where applicable).
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