Acknowledged Receipt of Items

5200 DELMAR BOULEVARD
ST. LOUIS, MO 63108

Thank you for leaving your items with us!

Please complete the form below to confirm that the staff at Third Degree has received your items for repair or reproduction. If you have any questions before completing this form, please speak to a staff member at the front desk.

Receipt of Items

This form is used for guests to acknowledge that TDGF has received their items for repair or reproduction.

Name*
First Last
Company Name (if applicable)
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Would you like to be added to our email list?*
- Yes, please!
- No, thank you.
Hold Harmless Agreement*
Because we cannot accurately assess the sentimental or material value of your item, we are unable to accept monetary responsibility for pieces left in our care. We do our very best to avoid loss and damage. Chips, cracks and breaks are unpredictable, and in rare cases, items can sustain additional damage during the process. You leave the items listed below at your own risk. Items left over 90 days become the property of Third Degree Glass Factory.
Initial below to accept the terms of the Hold Harmless agreement
Description of Items:

Thank you for leaving your items with us!

Receipt of Items

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Thank you for leaving your items with us!

Receipt of Items

About

SHOP

Host An Event

Studios

Third Friday

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