Helm Luxe - Quote Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Helm Luxe - Quote Form

Hey Friend, we are excited to serve you!. Please fill out this order request with your contact information and event details, we will contact you to go over rental availability before the order is completed.
Note: Your event date is not guaranteed until you received a confirmation email from us and we have received your deposit.

We can't wait to see how you style our rentals!

Sign in to Google to save your progress. Learn more

First Name *

Last Name *

Email *

Phone Number *

Event Date *

MM

/

DD

/

YYYY

Event City and State *

Event Start Time *

Time

:

Event End Time *

Time

:

Pickup Date *

MM

/

DD

/

YYYY

Time

:

Delivery Date *

MM

/

DD

/

YYYY

Time

:

Kids Seat Selection

Ghost Chair - Clear (20 available), Height: 25'', ($8 per chair)

Nesting Chair - Black (20 available), Height: 22.8'', ($8 per chair)

S Chair - White (20 available), Height: 22'', ($8 per chair)

Bow Chair - Gold (12 available), Height: 21.6'' , ($10 per chair)

Modern Wood Leg Chair - White ( 20 available), Height: 22'', ($8 per chair)

Cross Back Wood Chair - Yellow( 8 available), Height: 25" , ($9 per chair)

Cross Back Wood Chair - Blue ( 8 available), Height: 25" , ($9 per chair)

Cross Back Wood Chair - White (12 available), Height: 25" , ($9 per chair)

Cross Back Wood Chair - Natural (18 available), Height: 25" , ($9 per chair)

Clear selection

Adult Seat Selection

Ghost Chair - Clear (20 available), Height: 35.75'', ($12 per chair)

Cross Back Wood Chair - Natural ( 20 available), Height: 35" , ($12 per chair)

Clear selection

Number of Seats Needed

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bolanle HQ.

Does this form look suspicious? Report