Rental Payments

HomeRental Payments

This form is for you to make an additional payment on your account or someone else’s account.

If you want to Submit your Measurements, click here.

Ticket No

Your Pick-up Location *

Bride, Groom or Event Name *

Date of Event *

Payment Information

Name on card *

First

Last

Mobile Phone *

Your email *

Confirm Email

Amount you are paying *

USD

Driver's Lic No *

State DL Issued *

Credit Card *

Card Number

Expiration

Security Code

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Notes

If you want to make a payment on someone else’s balance, please enter their name/names here and how much you would like to pay on each person’s order.

Digital Signature and Disclaimer

You can either TYPE your name in the "Digital Signature" field or SIGN your name using your finger in the "Signature" field.
By doing so, YOU ARE AGREEING TO THE "CONDITIONS OF RENTAL and/or CONDITIONS OF PAYMENT" AGREEMENT BELOW.

CONDITIONS OF RENTAL: a minimum nonrefundable service charge of $75 will be made on any order cancelled at any time before the date of use. No refund will be issued on any order cancelled within 72 hours of the date of use. No claims or shortages will be allowed unless reported or adjusted prior to the date of use.

CONDITIONS OF PAYMENT: Your credit card will be charged the amount you have entered. This payment will be applied to the balance of your account and/or applied to the balance of the account(s) that you listed in the "Notes" section of this form in the order in which you entered.

I agree to pay the following amount. (USD)

$ 0.00

Digital Signature

Type your name here OR sign below.

Signature

Name