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Bagged Ice Order Form
Minimum 20 Bags (320 lbs.)
Refrigerated Trailer Rentals are Available for all Ice Orders.
soiccy.com
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Customer Information
Name
*
First
Last
Email
*
Phone
*
Shipping Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Billing Address
*
Same As Shipping
New Address
Billing Address
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
FREE Delivery with Trailer Rental
Order Details
Choose Ice Bag Size
*
16lb Bag
Delivery Fee
*
Price:
$50.00
Restrictions Apply
Choose Quantity
*
Price:
$5.00
20
21
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120
minimum 20 bags (320lbs)
Trailer Rental
*
Price:
$275.00
1
2
3
4
5
Choose Number of Days Needed.
Do You Need to Rent a Trailer for Ice Storage
*
Yes
No
$150 Refundable Damage Deposit Required on all Trailer Rentals
Rental Tax
*
Price:
$0.00
Product Sales Tax
*
Price:
$0.00
Rental Protection Plan is Required on All Trailer Rentals
*
I Agree
The Rental Protection Plan is Mandatory for ALL CUSTOMERS. Customer agrees to pay a charge of 10% of Trailer Rental.
Rental Protection Plan
*
Price:
$0.00
Total Summary
*
Order Summary
Item
Quantity
Total
There are no products selected.
Choose Quantity
20
$100.00
Product Sales Tax
1
$0.00
Rental Protection Plan
1
$0.00
Delivery Fee
1
$50.00
Trailer Rental
1
$275.00
Rental Tax
1
$0.00
Total
$425.00
$0.00
Date / Time Needed
*
Date
Time
Payment Details
Stripe Credit Card
*
Solve theProblem
*
=
Place Order
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