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Customer Information:
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Name:
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Event Date:
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E-mail:
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Cell Phone:
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Home Phone:
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Work Phone:
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Pickup and Return Schedule for 1 day Rental Rates:
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Pickup & Delivery Information:
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Pickup Due Back
Monday Wednesday
Tuesday Thursday
Wednesday Friday
Thursday Saturday
Friday Monday
Saturday Monday
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I would like to pickup my order
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Pickup Date:
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I would like my order delivered (if available)
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Delivery Date:
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Delivery Time:
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Delivery Information:
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I require late night pickup 5:30pm-12am (starts at $150)
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Ceremony/Event Location Contact Information
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Please enter the information of your contact person at
your event facility that we may call with questions or
concerns regarding delivery, setup, removal or pickup of
our items.
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Contact Name:
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Contact Phone:
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Reception Location Contact Information
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Contact Name:
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Contact Phone:
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Order List:
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I would like to order the items on my estimate: Estimate #
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Online Order Terms and Conditions:
Orders placed online are subject to a 50% cancellation fee, even if the credit card payment has not been processed.
Customer agrees to the Rental Terms and Conditions (Please click on the link and read before proceeding) Print the Terms and
Conditions for your record.
Orders submitted online are not guaranteed until you receive a confirmation invoice, as we must check availability. Our online order
system is not for last minute orders. This system is for events at least 2 weeks to 30 days away. Final Selections/ Counts and
Cancellations must be received no later than the Friday, two weeks prior to the event. ALL PAYMENTS ARE NON REFUNDABLE.
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Electronic Signature:
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Initials:
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I agree to these terms and agree to pay a 50% cancellation fee if
I decide not to proceed with this order for any reason.
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Credit Card Payment Information:
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Check Payment Information:
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If you are not the responsible billing party, or if a parent is helping
with your wedding costs, please enter their information and have
them call us to verbally confirm permission to use their card.
The billing address must be associated with the credit card or
the transaction will not go through.
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I am mailing a check for the 50% non refundable
deposit and will send a check for the balance two
weeks prior to the event.
I agree to submit my final counts two weeks prior to
the event, and understand items cannot be removed
the week of the event, but I can add items based on
availability. Substitutions must be approved.
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Billing Address:
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Name on Card
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Address:
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Check #
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City:
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Please scroll to the bottom of the
page to confirm your order.
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State:
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Zip :
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Please enter the last four digits of your credit card number, then
call our office with your complete number.
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CC #
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Expiration Date:
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I would like to pay in full today
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I would like to pay a 50% deposit
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ALL PAYMENTS NON REFUNDABLE
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By clicking the "Submit" Button, you are confirming your order
and authorizing Simply Elegant to charge your card for
payments, and damaged or missing items.
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