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Order Form

Print and Complete Form - Mail with Deposit to:
Ice Carvers's Choice
3657 Old Getwell
Memphis, Tn 38118


Date: _______________________________________
Contact Name:_______________________________
Company:____________________________________

Billing Address: ________________________________
Phone #:______________________________________
Fax#:_________________________________________

Alternate Contact Name:_________________________
Phone: _______________________________________
Event Location:_________________________________
Location Phone: ________________________________
Event Type:____________________________________
Delivery Date: __________________________________
Event Time:____________________________________
*Delivery Time:__________________________________

Sculpture:______________________________________
Sculpture Price:$_______ Delivery Set-Up $__________
Sales Tax 9.25%:$_________ Total Price $___________
Less Deposit:$_________ Balance Due $_____________
Referred by:(check one)
n Magazine   n Paper   n Friend   n Show   n Web Page
n Other:________________________________________

Please Note: A $50 Deposit per sculpture is required at the time of booking.  The Balance is due 2 weeks before delivery.  There is a $20 fee for returned checks

*Delivery time should be 1 hour prior to the event starting time (e.g. reception time).  We are not responsible for misstated delivery times.  It is the customer's responsibility to notify Ice Carver's Choice of any changes.

Customer Signature:__________________________________

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