Netties Linens
7627 Highland Road
Waterford, Michigan 48327
Phone: (877) 638-8431
Fax: (248) 666-5355


LINEN RENTAL ORDER FORM



Print and Fax your Orders

Order Date:______________________

Event Date:______________________

Billing Information:

Name:
_______________________

Address:
_______________________

_______________________

Phone:
_______________________

Fax:
_______________________

Ordered by:
_______________________
Shipping Information:

Name:
_______________________

Address:
_______________________

_______________________

Phone:
_______________________

Fax:
_______________________

Please check here
if the shipping address is a residence:  ___
Method Of Payment

___  Prepay (check or money order enclosed)

CREDIT CARD INFORMATION IS MANDATORY AND MUST BE FILLED OUT FOR SECURITY PURPOSES

___  Visa     ___  Mastercard     ___  Discover

Card # ___________________________     Expiration: ________

     CVV Code (last 3 digits on back of card): ___

Full Name on Card:
_______________________________________________________

Credit Card Authorization
(Must be signed)

CREDIT CARD INFORMATION IS MANDATORY AND MUST BE FILLED OUT FOR SECURITY PURPOSES

  Deposit is being paid by: (check/money order/credit card):  ______________
  Charge my account 1/2 the balance: _____  Charge my account to be paid in full: _____
I, ____________________________ certify that I am the cardholder listed above and I authorize Netties Linens LLC to charge my account listed above.

I authorize Netties Linens LLC to charge my credit card for unreturned, damaged and/or late fees which may apply.

  ___________________________________    Date: __________________________
  Signed
Description
(for chair covers, ballroom or folding)		QuantityColorFabric
    
    
    
    
    
    
    
    


Chair Cover Samples
Please check here if ordering chair cover samples only:    ___


Rental Agreement
By checking here and signing below, I agree to the terms of the Rental Agreement:
NettiesLinens.com:    ___

SIGNATURE:    ___________________________    Date:_______________________