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Online Order Form

Please read Policies & Terms before ordering!

Note: After submitting this order form, you must call Glades Herp to confirm availability and shipping status on first time orders.

Name: 

Address: 

City:      State:        

Country:            Zip: 

Phone #           E-mail : 

Method Of Payment:        

We also accept Pay-Pal, (requires 3% surcharge) Complete this order form, then return to our homepage and click on the paypal banner to make your payment. Please call us to verify shipping & handling charges before submitting payment.

Credit Card Number:         Expiration Date: 

Convenient Date to Receive your order:  

Enter Your Order Below:  (Please specify item & quantity)

Item 1:

Item 2:

Item 3:

Enter additional Items below:

Please confirm all information is correct before submitting your order!  Only press the submit button once,  it may take a few seconds to process your information and send your order.  Thanks....