Glass World Deposit Payment

Use the form below to make a deposit payment on your Glass World quotation.

*Required

*First Name:

*Last Name:

*Email Address:

*Tel:

*Street Address:

*City:

*Province:

*Postal Code:

*Glass World Quotation Number:

*Deposit Amount:

*Credit Card Type:

*Credit Card Number - FIRST 12 DIGITS:

Please double-check your credit card number!

*Credit Card Number - LAST 4 DIGITS:

Please double-check your credit card number!

*Name on Card:

*Expiry Date:
Month: Year:
Please double-check your expiry date!

*CVV Value:

Your 3-digit CVV value can be found on the back of your credit card.

*Credit Card Authorization:

Glass World COD Policy: By checking the box above and submitting this form you verify that you are the card holder and that you authorize Glass World to process your card for the above amount. Upon completion of the job, Glass World will automatically debit this card for the outstanding balance on the work order.

Toll Free: 1-888-820-5080
Tel: 604-854-5757
Fax: 604-852-1850
Email: info@glassworld.ca

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