Make a Payment

First Name *

Last Name *

Email *

Phone *

Street Address *

Province *

City *

Postal Code *

Glass World Quotation Number *

Deposit Amount *

Credit Card Type *—Please choose an option—VisaMastercard

Credit Card Number * - First 12 Digits

Credit Card Number * - Last 4 Digits

Name on Card *

Expiry Date *

CVV Value *

Glass World COD Policy: By checking the box above and submitting this form you verify that you are the card holder and that you authorize Glass World to process your card for the above amount. Upon completion of the job, Glass World will automatically debit this card for the outstanding balance on the work order.