Request Form
There are a number of ways in which you can order your own personal quality hand-crafted glass motorcycle.
In the first instance you should contact us to discuss your individual requirement. You can get in touch by
telephone or fax from the contact page or by e-mail using this request form.
FILL IN YOUR REQUEST DETAILS BELOW
Name* Fill in your personal request below:
Address


Postcode
Telephone
Facsimile

 
Email address*
 
 
*= required

ORDERING INFORMATION

After reading our Terms and Conditions you can make an order securely by telephone, fax or e-mail.
The transaction takes place with WorldPay which is a recognised secure site where your 
credit card details are safely and securely entered. All currency conversions are handled by them
as is the transfer of the payment. 

Please have a look at their site for more information if required.


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Disclaimer: GlassicEM/Glassmotorcycles is in no way shape or form connected to the Harley-Davidson Motor Company or any other motor company.

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