Juhlin Glass Studio
262-325-0638

Please use this Order Form to Pay for Special Orders placed with Juhlin Glass Studio OR Payment for purchases of product sold on eBay.


If you are paying for a Special Order, verbally placed with Juhlin Glass Studio, Please indicate your ORDER # as given by Juhlin Glass Studio. Actual amount charged will be as stated in ORDER.

If you are paying for an item won on eBay, Please indicate your Auction Number.

Order Number or Auction Number: Item Name: Auction Price (Product Only): $ Add to my order .... IT IS NECESSARY TO CHECK THE BOX TO ADD ANY OF THESE PRODUCTS TO YOUR ORDER: Add a 6-inch Ornament Stand ...$3.00 Add an 8-inch Arched Ornament Stand ...$8.00 Select: Upgrade to Sensor Night Light Base ... $2.00 Upgrade to Swivel Night Light Base.... $2.00 Add 2 additional Night Light Bulbs - 4w ...$ 2.00 Add a Small Gift Box ....$2.00 Add a Large Gift Box ....$3.00 Add FREE Plain Enclosure Card Free Enclosure Card Message: OR Click Here Special Enclosure Cards - $1.00 Each (Use Back Browser Arrow to Return to this Page) REMEMBER TO ADD YOUR SIGNATURE TO YOUR ENCLOSURE CARD!! Need by Date ... Select: Ship ASAP - but I need it by this date Delay Shipment to receive by this date You may put a name, date, message or a verse on any product we sell. Length is limited to size of product. Please indicate WHERE you want the personalization. PERSONALIZATION: 1st name or phrase 2nd name or phrase 3rd name or phrase 4th name or phrase 5th name or phrase Go to Juhlin Glass Studio's Main Page Thank You!