Vases_4-27-02

'Vases'

4-3/4" H x 1-5/8" W
Singed & Dated ~ JHT 04/02
$....INQUIRE

Available

Reserve Order Form

                FIELDS MARKED WITH * ARE REQUIRED!

     Item Name #: *
	   Your Name: *
  Street address:  
            City:     
           State:      Zip:    
         Country:  
  E-Mail Address: *
   Privacy Policy

Payment required after the requested
Glass Sculpture(s) is reserved.