Customer Information:
Name:
Event Date:
E-mail:
Cell Phone:
Home  Phone:
Work  Phone:
Pickup and Return Schedule  for 1 day Rental Rates:
Pickup & Delivery Information:
Pickup                Due Back
Monday               Wednesday
Tuesday              Thursday
Wednesday         Friday
Thursday             Saturday
Friday                   Monday
Saturday              Monday
I would like to pickup my order
Pickup Date:
I would like my order delivered (if available)
Delivery Date:
 Delivery Time:
Delivery Information:
I require late night pickup 5:30pm-12am (starts at $150)
Ceremony/Event Location  Contact Information
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.
Contact Name:
Contact  Phone:
Reception  Location Contact Information
Contact Name:
Contact  Phone:
Order List:
I would like to order the items on my estimate:                 Estimate #
Online Order  Terms and Conditions:

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.
Electronic Signature:
Initials:
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.
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.
Serving the Dallas/ Fort Worth Area
Online Rental
Ordering System
817.656.2WED
Please fill out the order form completely. This