Name (first and last) 

Company Name (if applicable) 

Phone # 

Email Address 

Pick up Date    Pick up Day 

Time Guests Arrive    AM         PM

Description of carving (s) 

Do you need any of the following-

Drip pan (Add $15)  Yes  

Light (Add $15)        Yes  

Cubed Ice 22/Lb bag  Yes            If yes how many?

Please read and sign(type) below:

We are a small company committed to excellence.  We are limited as to how many orders we can accept on a particular Day.  Once you decide that you would like to place an order send in your deposit to secure the date.  $50 deposit payable at time of order, non-refundable. Balance payable by check or credit card 10 days prior to pick up.  We offer a $25 discount for 1 block carvings ordered more than 10 days prior to the date of the party.

It is the responsibility of the customer; to insure a proper container is available to collect the water from the sculpture throughout the entire event, and have a level - sturdy table ready for ice sculptures. Sculptures should not be set up in direct sunlight as this can cause honeycombing and cracking.

When picking up the sculpture, bring a moving blanket or sleeping bag to wrap it in.  Mini Vans or SUV's are the preferred vehicles for pick up.

You can submit the form in one of 3 ways-  Print it and mail with a check to- Elegant Ice Creations Inc.   4001 Towpath Tr Unit C Broadview Hts OH 44147 . 

Or fill out the credit card info & Click Submit, or print and fax it to 440-746-1140.