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Please complete entire form, print and fax to: +1-310-943-6989

We will confirm your order within 3 business days by email.  Please contact us if you do not receive your order confirmation after 3 business days.  You must review the order confirmation and notify us of any error.

Today’s Date:
Quote #:
Customer First Name:
Customer Last Name:
Name of Bride:
Email:
Phone number:
Wedding Date:
 
Credit Card To Be Billed
Name On Card:
MasterCard or Visa:
Credit Card #:
Expiration Date:
Security Code: (3 digit displayed on the back of card)
Billing Address:
 
Shipping Address:
(If different from billing address)
 
Wedding Dress Information ________ (Initial)
Designer:
Style # or Name:
Color:
Quantity:
Size:
Indicate petite length (P) or extra length (XL) if needed.
 
Item Price ________ (Initial)
Dress:  
Additional Charges: Extra length, extra size charges etc
White Bridal Bag: $12.99 Recommended – Zipper garment bag
Other (Please specify):
(No swatches available)
Tax (8.25% for CA only): Add sales tax if order is shipped to CA
Shipping: FREE Within continental US
Total:  
 
Additional Notes :
(Do not list measurements, we can only take exact sizes specified in the designer size chart)
 
  • I confirm that the order is correct and I authorize the charges to the credit card(s) above.
  • I agree that I am fully responsible for getting the correct measurements and that I have been advised to refer to the size chart for the designer.
  • I agree that I am fully responsible for ordering the correct styles, colors and sizes, and viewing the sample dress even if I ask Perfect Bridal for size, style, and color advice.
  • I realize that viewing dresses on the web is subject to color variation due to monitor displays and should not be used as the only reference for color or for viewing details on the dress.
  • I agree that all sales are final and that there will be no exchanges, changes, cancellations or refunds.
  • If any of the charges above are disputed,I agree that my credit card will be charged for the full amount plus any penalties assessed by the credit card companies.
  • I agree that the liability of Perfect Bridal is limited to the cost of the merchandise ordered.
  • I agree that the dresses will be shipped folded in a box and I am responsible for pressing the dresses.
  • I agree that I am responsible for any customs related charges and tariffs. (For international orders)
  • If I change the shipping address after the package leaves Perfect Bridal, I agree that I will be charged $10 UPS (US only) or $20 UPS (International) address change fee. (e.g. asking UPS to deliver at work instead of specified address above).
  • I agree that it is my responsibility to contact Perfect Bridal if I do not receive the order confirmation within 3 business days.  It is also my responsbility to review the order confirmation and notify Perfect Bridal of any error within 2 business days after receiving the order confirmation.
 
 
___________________________(Signature of Credit Card Holder)
 

___________________________ (Print Name)                              _______________(Date)

 
_________________________________________________________________
www.perfectbridal.com