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