Customer Name:
Email:
Primary Phone:
Alternate Phone:
Event Name:
Event Date:
Rental Begin Date:
Date the dress(es) will arrive to you
Rental End Date:
Date you ship back the dress(es)
Dress Codes:
Comments:
Delivery Signature:
Please scroll to bottom of page and carefully review Delivery Signature instructions.
IMPORTANT SHIPPING RETURN INSTRUCTIONS:  
  • Dress(es) MUST be shipped back to Rhythmic Rentals no later than the above End Date or severe Late
    Fees will apply (See Rental Agreement – Late Fees).  
  • Local customers may personally return Dress(es).
  • Please carefully follow all return instructions and use the enclosed return labels.
New Customers:    Please complete below Address and Credit Card Information.

Existing Customers:    Please update anything below that has changed.
Billing Address:
Street Address:
City:
State:
Zip:
Shipping Address (if different from above):
Business Name:
Street Address:
City:
State:
Zip:
Credit Card Information:
Email info@rhythmicrentals.com with your Credit Card number, expiry date and security code, or

Call  336-312-1065.

Please note that we cannot make any shipments until we receive your credit card information.
Rental Agreement for Rhythmic Rentals

Please click above Rental Agreement to review and print for your records.

By clicking the below Submit button, I, the Renter, agree to all terms and conditions of above Rental Agreement.
Copyright 2014 Rhythmic Rentals, LLC, All Rights Reserved.
_______________________________________________________________________________________________________________
Dress Rental Form
Rhythmic Rentals
"Your Trusted Ballroom Dress Rental Source"


Please select the appropriate signature box for receipt of your FedEx package.

Business Delivery – signature required:
The FedEx package will be delivered to a business.  A signature will be required to receive the package.

Home Delivery – signature required:
The FedEx package will be delivered to a home.  A signature will be required to receive the package.

Home Delivery – signature not required:
The FedEx package will be delivered to a home.  This is not an option for deliveries to an apartment/condo.  A signature will not be required
to receive the package.  Checking this means that you assume all responsibility for the package and its contents.

Apartment/Condo Delivery – direct signature required:
The FedEx package will be delivered to an apartment/condo.  A signature will be required to receive the package.

Apartment/Condo Delivery – indirect signature required:
The FedEx package will be delivered to an apartment/condo management office or front desk.  A signature will be required by someone in
this office to receive the package for pickup.  Not all management offices will do this so please check with them to be sure.  If not, please DO
NOT check this box and note that a signature will be required.

Hold at FedEx location:
You will arrange to pick up the dress(es) at a FedEx location of your choice.  You may go to www.fedex.com/Dropoff/SearchAction.do and
enter your address to search for FedEx locations.  Make sure you select 'filter the search' to include the “express Hold at location” option. If
you choose this option, please put the FedEx location in the Ship To Address.

Local Pickup:
You will arrange to pick up the dress(es) at our location (5500 Adams Farm Lane, Suite 110, Greensboro, NC 27407).
Please indicate below the dress(es) you would like to rent.

IMPORTANT: Please scroll to bottom of page and carefully review Delivery Signature instructions.
DELIVERY SIGNATURE INSTRUCTIONS: