Company Name

Contact

First Name

Last Name

Address

Phone

(###)

###

####

Job Name

Glass Type

4. Thickness

Please reference the illustration below

1. Convex Chord

Please reference the illustration below

2. Convex Depth

Please reference the illustration below

3. Height

Please reference the illustration below

Type of pattern provided

Choose all that apply.

None

2D to show Radius Only

3D for size/shape of glass

3D for Radius AND size/shape of glass

Number of pieces

Other fabrication information

Payments we accept:

1371 N Miller St.
Anaheim, CA 92806
Phone: (714) 779-9101

Simple Bent Glass Quote Request