523 W. Main St.       Winneconne, WI  54986
Name                                                                        Address  
City                                                                            State                          Zip                Date
Home Phone                                         Other Phone                                     E-mail
State License or Tag # (if applicable)



Return Shipping


5% Tax  WI Residents only


 Minimum Deposit Required   $                          enter Deposit Paid

                      Amount Due upon Completion

NO WORK WILL BEGIN WITHOUT A DEPOSIT.    A minimum deposit of 25% is required at time mount is  received or within 30 days.  After 30 days, minimum deposit is 33%.    Deposits are non-refundable.  Any animal in our possession without a deposit after 1 year becomes the property of Simpson Taxidermy Studio and may be sold, mounted or disposed of without notification or compensation to the customer.   Cancellation fee is  $15.00
  All game must be legally taken.  We are not responsible for loss or damage in tanning or transit.  We are not responsible for losses due to fire, theft,  vandalism, natural disasters or mechanical failures.
Compensation will be limited to insurance coverage. We reserve the right to  make reasonable changes and substitutions in order to complete your mount. If this results in additional charges, we will attempt to notify you prior to making any changes. 
Upon completion - the full balance is due within 30 days. If the balance has not been paid after 30 days, you will be charged $15 per month, per mount,  storage. After 90 days, your account will be turned over to a collection agency. Any  additional collection cost including attorney & court fees, etc. will be added to  your bill.   After 90 days, your mount will be placed for sale for the balance of  charges due. No mount leaves until all charges are paid in full.  Please note that you have not been promised a completion date.  Any completion  date you may have been given is approximate. Since many factors may affect our work, all work is done at the owner's risk.   I have read and agree to the above terms -   

CUSTOMER SIGNATURE___________________________________________________

Instructions - Click on PRINT on your browser.    After printing, fill in personal information at top, and description of work to be done, then sign at bottom. Place this completed form, your deposit, and  any special tags or photos in an envelope and enclose with your shipment. If you have questions, please call 920-582-7004.  Follow Shipping instructions carefully when shipping frozen specimens.