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| Some of the numbered items described below will be required when you place your UltraGlas® order. As the timely receipt of all such pertinent information may have a direct bearing on your order’s production schedule — please review this list and be prepared to include appropriate information along with your order and deposit. |
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| 1. |
Project Name |
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| 2. |
Purchase Order Number
If one is required. |
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| 3. |
Billing Address |
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| 4. |
Shipping Address
If other than Billing Address |
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| Items 5-15 may be required on Shop Drawing or stable-based Template material (Select one): |
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