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Liquid Stone Account Creation Form

Thank you for choosing Liquid Stone for your next concrete delivery. Please complete this form to assist us in creating your account. Your information will help us provide you with the best possible service.



When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.


Basic Account Information

Liquid Stone will not sell or share your information.


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Enter your phone number Enter a valid number like +1555-123-4567
Enter an email Use an address with (@) and (.)
Preferred Contat
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Preferred Payment Method - You can select all that may apply.( please see the Terms and Conditions). You may change payment type with each order placed, this will not lock you in to just one option.
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Billing Information


Liquid   Stone accepts cash, check or credit card at time of delivery and based on approval some accounts may qualify for billing terms. Each   customer is REQUIRED to have a valid credit or debit card on file. The card will only be charged with verbal consent   for any orders but may be automatically charged for cancellations fees or outstanding balances based on terms and conditions. 


This is required Enter a phone number
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Do you have a tax Exemption? ( If Yes please email a copy to our support team )
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Will you be using PO number for your orders?
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Thank you for choosing Liquid Stone for your next concrete delivery. Please complete this form to assist us in creating your account. Your information will help us provide you with the best possible service.

Fee Disclosure, Terms & Agreements


Please acknowledge the below items as proof that you have been made aware of and agree to the items below. You will be asked to also sign a waiver at the time of your appointment for added active site terms. Liquid Stone reserves the right to call on this and any other signed document as proof of acknowledgment and agreements to terms. Terms and Conditions




I have read and agree to the Terms and Conditions
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I acknowledge and agree that the Liquid Stone cancellation fee is $150 for cancellation with less than 24 Hours notice from time of scheduled appointment . Excluding weather related cancellations.
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I acknowledge and agree that the Liquid Stone cancellation fee is $200 for weekend or off hours appointments with less than 24 Hours notice from time of scheduled appointment. **Weather related cancellation will still be assessed a $100 fee .
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I acknowledge and agree to the 3% fee associated with the use of a credit card and agree that upon verbal consent Liquid Stone may charge my card.
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