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Directions
1) print a copy of this form and fill out completely
2) make check payable to "BBL Ice Association" for total due
3) mail form and check to:

BBL Ice Association
c/o Chelle Nelson
11435 Third Street
Becker, MN 55308

Order Form

Name	Phone
Address	Email

Business Name	Phone
Business Address	Email

Brick Size	Qty	Price	Lines of Text	Inscription -- please print legibly (15 characters per line including spaces)
4 x 8		$50	1 line of text	1)
4 x 8		$60	2 or 3 lines of text	1) 2) 3)
8 x 8		$1,500	4 to 6 lines of text	1) 2) 3) 4) 5) 6)
12 x 12		$3,500	business logos	(provide separately)
Total Due