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Customer Information:

First name *

Last name *

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Phone *

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Services and Offerings *

In-Store Photoshoot (+$99) Rush Me Please (+$249) Permanent Dental Crown The GBS Experience (+$999) Pull-Out Grill

Grill type: *

Gold color: *

Diamonds: *

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If yes, select diamond quality

Standard Add-Ons:

Cool Add-Ons:

Grill Guard (quick fit) $50 Grill Guard (custom fit) $250 Podcast slot $350 per hour Podcast slot $1,000 per month Mural/Billboard slot $5,000 per month

VIP Add-Ons:

Photoshoot (+$99) Rush Me Please (+$249) The GBS Experience (+$999)

Dental Add-Ons:

Special Instructions

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Terms of Service

      Grillz By Scotty is not responsible for any damage to your teeth. Our associates are available to assist with any issues related to your grill; however, all sales are final, and no refunds will be issued. A $25 holding fee will be applied each week after the second week of an open balance. If the balance remains unpaid for one (1) month, the order will be canceled. SMS Consent & Opt-Out Information: By providing your phone number, you consent to receive text messages from Grillz By Scotty regarding appointments and order updates. Opt-In Message: If you would like to receive text message communication, text START, YES, to this phone number: +1 (561) 379-1961 from GRILLZ BY SCOTTY. You will be opt-in to text messages. Opt-Out Message: Message frequency varies and may include appointment reminders or service offers. Message and data rates may apply. You may opt out at any time by replying STOP at any time to end or unsubscribe. For assistance, reply HELP or contact support at: +1 (561) 379-1961. See our Privacy Policy for details on how we handle your information.
    

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