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Gladys Place Form
 We accept Visa, Mastercard, checks and money orders. Complete your order, send along with your check or money order made payable to:


Gladys Place
MT. Carmel Station
P.O. Box 580209
Bronx, NY 10458
Email: info@gladysplace.com
Email: info@gladysplace.com

QTYITEM NAME & # PRICE COLOR if applicableTOTALS
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----$   
----$   
---- $   
----$   
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Retail NY Residents add 8.625% tax 
*Shipping From Below
TOTAL ORDER 
CUSTOMER INFORMATION
Customer Name
Address
City                                  State                      Zip Code
Home Phone #                                                       Work Phone #                                                              Email Address

Credit Card Info: (Please check one)
VISA MASTERCARD

Card Holder Name (as it appears on card) 
Card Number:     CVV2 (3 digits):
Expiration Date: 

Card Holder Signature (If mailing in)

Retail Shipping
UPS orders:
00.00 - 14.99.......4.25
15.00 - 19.99...... 4.55
20.00 - 24.99...... 4.85
25.00 - 29.99...... 5.75
30.00 - 34.99...... 6.35
35.00 - 39.99...... 7.35
40.00 - 44.99...... 8.20
45.00 - 49.99...... 9.00
Free shipping on orders over 50.00 dollars via UPS ground service. Shipping charges and offer applies on orders within the continental USA. All others email us for charges.
USPS available if shipping to a p.o.box only.
Please allow 2 days to proces your order. We will e-mail on expected arrival day of shipment.


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