Original Design by Rose Farmum
Please check one box in each category
of color choices:
BACKGROUND COLORS:
___ A. White Wispy Opal
___ B. Lt. Honey Translucent Opal
___ C. Med to Dark Honey Opal
___ D. Ivory Opal (a nice off white)
___ E. Light Colonial Blue Opal
TRIM COLORS:
___ 1. Dark Red Cathedral
___ 2. Dark Green Cathedral
___ 3. Dark Amber Cathedral
___ 4. Cobalt (royal) Blue Cathedral
___ 5. Steel Blue Waterglass
___ 6. Medium Rose (Mauve) Cathedral
Light Size is 20" diameter & 13" tall.
This light is wired with UL lamp wire and a
porcelain socket w/3' lamp chain, wall plug and
inline switch.
Ceiling plates are available for installing to
existing home wiring. Your local electrician
is recommended for this installation.
Date:
Name:
Address:
City:
State: Zip
Code:
Telephone:
Email:
| The Chicadee Light |
$
425.00
|
| Maine residents - 5% Sales tax |
21.25
|
| Sub total |
$446.25
|
| Shipping & Handling |
|
| Deposit Paid - Check# |
|
| Balance Due |
|
Personal
Checks, Money Orders & Cash accepted
Please add shipping & handling charges if you
do not plan to pick up at my studio. They are
speically packed, double boxed and insured for safety.
Call with your zip code for shipping cost.
For custom lamp orders allow 3- 6 weeks for
completion. A deposit of $125.00 is required
with order and any final payments are due before
shipping or pick up.
Questions and Comments are welcomed:
Please call: 1-207-583-6151
Email: rosesglass@roadrunner.com
Print this form, complete and send to:
Rose's
Stained Glass Studio
430 Naples Road
Harrison, ME 04040-3912
Web Site:
http://www.rosesstainedglass.com