Statuette Order Form

Posted on

IMPACT DOCS Statuette Order Form

Fields marked with an * are required

Complete this section for addresses in the United States

Complete this section for international addresses



The words "Impact DOCS Winner" will be on the top line (line #1) of your award .

Your level of award will be on line #2 of the statuette.
(Award of Recognition, Award of Merit, Award of Excellence, or Best of Show)

IN ADDITION to the first two lines (above) you have another six (6) lines.

You do NOT need to use all six lines.

NO MORE than 24 characters (including spaces) per line.



Statuette # 1

Statuette #2

Statuette #3

Statuette #4

Statuette #5

Statuette #6

Statuette #7

Statuette #8

Order Totals



Due to the current conditions with COVID 19 - there are temporary restrictions with the US Postal Service into some countries.

For those countries where we will have to ship via FedEx, shipping will be higher than the flat rate $75. We need to determine this on an individual basis. (depending on your country and the number of statues ordered)

Please complete the form (with the international shipping checked) and we will email you to let you know the additional shipping charges.

We apologize for any inconvenience - this is completely out of our hands!  The list changes often so we will keep up to date.

This impacts INTERNATIONAL deliveries only.

The current list of countries impacted is in the link HERE.


When you click the "submit" button - you will be taken to the secure PayPal website for payment.

You can pay with a PayPal account or a credit card.

When your transaction is complete - you will automatically be brought back to this page.