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Phone: 08 9535 6522
ABN: 56 126 709 839

 www.icedup.com.au
icedup@westnet.com.au

If you would like to print out a copy and Fax your Order through please click here......

Function Date:

Function Start Time:

Delivery Time:

Steps at venue?

Name:

Address:

Home Phone:

Mobile Phone:

Email:

Type of Machine:


Choice of Cocktails




Do you require refills

How did you hear about us?


COMMENTS:

Service:

Number of Guests:

Most Popular Cocktail:

 

 

DIABETIC WARNING:

These beverages contain Sugar & Sweetners.


We will Telephone or Email you to confirm availability of your request

Iced up fruit cocktails accepts no liability for damage or injury resulting from misuse of equipment by customer, including movement of equipment or other alteration of equipment as installed by employees of Iced up fruit cocktails the customer assumes complete and full financial responsibility for the equipment including liability for misuse and payment repair in case the equipment is damaged through neglect or misuse