600 N. Cleveland Avenue | Suite 210 | Westerville, Ohio 43082 +1-614-523-3033 Office +1-614-818-9485 Fax
www.gmic.org
Glass Manufacturing Industry Report Order Form
To purchase the GMIC Glass Manufacturing Industry Report, complete this form and send it along with payment information to Donna Banks by fax (+1-614-818-9485) or email ([email protected]) or by mail to the GMIC address as listed above. Upon receipt of payment, the report will be emailed to the indicated contact as an attachment files in Adobe PDF and MS-Excel formats. If payment is made by check, payment must clear bank processing before the report is mailed.
CUSTOMER INFORMATION
Contact Name
Company Name
Street Address
City | Providence
State | Zip
Country
Phone Number
Email Address
NOTE: The above email address is where the report will be sent
BILLING INFORMATION (if different from customer information)
Billing Name
Company Name
Billing Address
City | Providence
State | Zip
Country
Phone Number
ORDER INFORMATION - payment must accompany order
Pricing
GMIC Member $1,375.00
Non- Member $2,295.00
PAYMENT INFORMATIONI
Payment Type Credit CardCheckPhone
Card Type
Name on Credit Card
Card Number
Expiration Date
CVV
Authorized Electronic Signature
If making payment by phone please complete this form and return it by email to Donna Banks. Email: [email protected]
Copyright 2018 Glass Manufacturing Industry Council
"All rights reserved. No part of the GMIC Glass Manufacturing Industry Report may be reproduced for outside distribution or transmitted in any form or by any means without written permission."