Retailer & Other Information Request Form

Please copy & paste the form below, fill it out & submit to us at the e-mail address shown at the bottom of the form & we will get back to you by the next working day or sooner. If you wish to print the form out & mail it to us, please use the land address which is also shown at the bottom of the form.

____  I am a retailer, please send information on wholesale prices & policies

_____ Information on dichroic pendants

____ Information on dichroic glass set in silver pendants

_____ Information on L. Huffman Studios

_____ Please contact me by phone (Best time to call __________________)

 _____ Other requests_______________________________________________________________

Name:  ________________________________________            

Title:  ________________________________________            

Company  ______________________________________        

Address  ______________________________________         

E-mail  _______________________________________           

Telephone #  ___________________________________  

Web URL  _____________________________________

Telephone: (425) 252-2742