GlassMask Order Form

*IMPORTANT: ALL fields are required unless indicated as optional. If this form doesn't send when you click the SUBMIT button at the end of the form, please check to make sure you have not missed filling a field. Alternatively, if you prefer to fill out and email the PDF version of our order form, download it here.

For Same day shipping, orders must be received before noon (Eastern Daylight Time). Shipping costs are approximate and depend upon quantity.

Please select from:

UPS Ground

  Your UPS Account Number (optional)

• 3-4 business days delivery time
• $15-$25 per gallon shipping
• If you do not provide your UPS account# the UPS shipping charges will automatically be applied to your credit card

  Your UPS Account Number (Required for air) UPS Air NEXT DAY

$90-$120 per gallon shipping

UPS Air 2ND DAY

$80-$100 per gallon shipping

UPS Air 3RD DAY

$60-$80 per gallon shipping

  Your FedEx Account Number (optional) FedEx Air Freight NEXT DAY

$90-$120 per gallon shipping

FedEx Air Freight 2ND DAY

$80-$100 per gallon shipping

FedEx Air Freight 3RD DAY

$60-$80 per gallon shipping

ATTENTION!

• GlassMask freezes in cold weather and is rendered permanently unusable.

• During cold weather we recommend using Overnight Delivery to protect GlassMask from freezing.

• We are not responsible, or liable, for delivered shipments that are rendered unusable from freezing.

   

    

    

  Card Number   Expiration Date   Security Code on Back of Card   Card Holder Name   Street Address   Suite # (optional)   City   State/Province   Zip/Postal Code

After pressing SUBMIT ORDER you will receive an email confirmation of your order and its details