Custom Quote Form

For the Southern California area only.

Please read Glass Basics-The 4 things you should know to order glass before filling out the Quotes form below or calling 55 Glass.

Name *:
Phone Number *:
 ( )-
City *
Zip Code
Email Address *:
Clear Glass Mirror Other
Describe if other:
Quantity: Thickness: Color: Width

Describe glass shape:
Round Diameter
Rectangle or square with square corners
Rectangle or square with rounded corners 
      How to figure a radius corner dimension »

      Radius Corner Size*
     (radius size required for rounded corners)
Describe if other glass shape:

Edge: Please refer to the Glass Edge Chart »
Polish Bevel (expensive) Seamed edge Other
Describe if other type of edge:
Hole(s): Yes No  Qty: Size:
Will this piece fit into a frame?: Yes No
Please describe application *:

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