Thank you for contacting Cold Technologies, LLC dba: Imperial Ice for your ice needs! Below is the information we need to set your account up.Company Name(Required) Billing Address(Required) Street Address Address Line 2 City State ZIP / Postal Code Company Phone Number(Required)Accounts Payable Contact(Required) First Last Accounts Payable Phone Number(Required)Accounts Payable E-mail(Required) Enter Email Confirm Email Address of Set-Up Location(Required) Street Address City State ZIP / Postal Code Contact for Deliveries First Last Contact Phone NumberDo you want to be scheduled on a regular route?(Required) Yes No Will you require an ice box for storing ice?(Required) Yes No Are you Tax Exempt?(Required) Yes No If you are tax exempt, we will need a copy of your tax exempt certificate.If not tax exempt, you will be charged the Arkansas Food Tax Rate for your area.Tax ID Number(Required) Upload a copy of your Tax Certificate(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.We take all major credit cards, checks, & cash. Arrangements for credit card payments must be made through our office. Drivers cannot accept credit card payments. Our accounting system has the ability for you to log into your account and pay invoices. If you are interested in this payment method please contact the office. Once this form is received, someone from our office will contact your Accounts Payable Contact to set-up the desired method of payment.The form was completed by(Required) First Last CAPTCHA
