Truck Event Information and Request Form

Hillside Farms | Truck Event Request Form

2012 Truck Event Information:

There is a minimum guarantee required of $350 for a Hillside Farms Ice Cream Truck to attend a private or public event (with the exception of schools). This minimum includes that the event must be within 15 miles of Hillside Farms at 65 Hillside Rd. in Shavertown P.A. and that the truck will be needed for a maximum of 3 hours or less. Each additional mile beyond the included 15 is an additional $3 per mile. Each hour beyond the included 3 hours is an additional $25.

Please fill out this form to initiate or to confirm a request to rent the Hillside Farms Ice Cream Truck for an event.

*(denotes required field)

Did you read the above “Truck Event Information”? *
Yes

Do you understand that there is a $350.00 guaranteed minimum for a Hillside Farms Ice Cream Truck unless you are a school? *
Yes

Contact Information:
First and Last Name *

Your Phone Number *
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Your Email *

Date Information:
Date Desired for the Hillside Farms Ice Cream. *

Has this Date been tentatively reserved with a Hillside Farms Staff Member? *
Yes No

Your Location:
Company Name: *

Street Address: *

City: *

Zip Code: *

Total Miles from Hillside Farms: Your event must be within 15 miles one way of Hillside Farms ‐ located on Hillside Road in Shavertown, PA. for our regular rates to apply. Additional miles past the initial 15 will be an additional $3.00 per mile.) Map

More than 15 miles? Please enter the total amount of miles from Hillside Farms to your event (one way):

Hours: Total Hours the Hillside Farms Ice Cream Truck is needed.

More than 6 hours? Please enter the total amount of hours you would like the truck to be at your event. (Each additional hour beyond 6 hours is an additional $25.00)

Please verify the text in the image below: