Request Information

Name*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

example@example.com

Company Name

Billing Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Venue Name

Ballroom Name

Event Address

Street Address

Street Address Line 2

City State

Zip Code

Gate Code

( if need it )

Event Date*

MonthDay Year

Event Time*

:Hour Minutes AM/PM Option

Delivery Time: 3 hours before event start, 1 HOUR WINDOW TIME, DELIVERY AND PICKUP TIME BETWEEN 8am and 6pm we may do delivery or pickup after hours but will be considering after hours extra fee your rental it’s for 24 hours max *

:Hour Minutes AM/PM Option

Pickup*

:Day Time AM/PM Option

Event Type

ADULT CHIAVARI CHAIRS COLORS (ivory cushion included)

HOW MANY YOU NEED?

CUSHION COVER COLOR ( $1 extra )

Clear Acrylic Table

4 ft wide X 8 ft Long

HOW MANY YOU NEED?

TABLES

5ft round6ft X 32” rectangle6ft X 32 kids size rectangle

HOW MANY YOU NEED?

TABLECLOTH

5ft round 120”6ft X 32” rectangle 90” x 132”

What color, How many you need?

THRONE CHAIR

HOW MANY YOU NEED?

4ft HIGH LED MARQUEE LETTERS, NUMBERS, SYMBOLS

LettersNumbersSymbol

MARQUEE LETTERS, NUMBERS AND SYMBOL SETUP ( extra fee )*

YesNo

Sand bags ( recommended for outdoor events) extra fee $5 per letter*

YesNo

Special Requests or Questions

KIDS CHIAVARI CHAIR COLOR

goldWhitepinkclear

HOW MANY YOU NEED?

KIDS THRONE CHAIR

Gold/WhiteGold/Pink

HOW MANY YOU NEED?

Special Requests or Questions

CATERING SERVICE PROTEIN

BeffPorkChicken

How did you hear about us?*

A&R CHIAVARI CHAIRS POLICY

* ID, DEBIT OR CREDIT CARD INFORMATION WILL NEED TO BE KEPT IN OUR FILES TO RENT OUR PRODUCT FOR SECURITY PURPOSES.

• This price is for 24 hrs rent max and will be an extra charge if you keep them for more than 24 hrs unless stated otherwise.

• 50% ($ ) of the total amount must be paid to reserve the product for your event date.

• The remaining 50% ($ ) must be fully paid 15 days before the event day.

( NO REFUND ON DEPOSIT IF THE EVENT IS CANCELLED UNDER ANY CIRCUMSTANCE, IF THE EVENT IS CANCELLED 15 DAYS OR LESS BEFORE THE EVENT DATE, NO REFUND WILL BE ISSUED AT ALL. )

• At the time the deposit or full payment is given, you are agreeing to our terms and conditions and will be validated as a contract signature.

CHIAVARI CHAIRS

•Any damage done to the products will be a full charge of the product $120 dlls per Chair $20 per cushion.

"NOTE"

PLEASE DO NOT STACK THE CHAIRS WITH THE CUSHIONS ON THE CHAIRS AND WITHOUT THE CHAIR COVERS. ANY DAMAGE DONE TO THE CHAIRS OR CUSHIONS WILL BE CONSIDERED EXTRA CHARGE.

KIDS CHIAVARI CHAIRS

•Any damage done to the products will be a full charge of the product $60 dlls per Chair, $120 per kids table.

THRONE CHAIRS

•Any damage done to the products will be a full charge of the product: $1000 per kids throne chair, $1500 dlls per single adult Throne Chair and $2000 per each adult loveseat throne chair.

CHARGER PLATES

•Any damage done to the products will be a full charge of the product $8.40 dlls each

ROUND OR RECTANGLE TABLES

•Any damage done to the products will be a full charge of the product $160dlls each

TABLE CENTER PIECE

•Any damage done to the products will be a full charge of the product $160dlls

MARQUEE LETTERS, NUMBERS AND SYMBOLS

•Any damage done to the products will be a full charge of the product $250ea

CLEANING FEE

All the items delivered must be returned in the same state they were delivered. If not, there will be an additional cleaning fee applied.

CASINO RULES

• Elevators and long hallways are an extra charge. If you’re having your event at a Casino, please try to get a loading dock near the ballroom to avoid getting this extra charge.

• Please make sure to send us the loading dock information as soon as you get it.

Thanks for considering A&R CHIAVARI CHAIRS LLC. for your special event !

PLEASE MAKE SURE THAT YOU HAVE READ AND AGREED TO OUR POLICY, LET US KNOW IF YOU HAVE ANY QUESTIONS BEFORE SIGNING.

Signature*

Clear

Name*

First Name Last Name