Owner Return Contract - Encore Ballroom Couture Encore Ballroom Couture

Step 1 of 6 - Contact Info

16%

New Or Existing Customer?*

New customers you'll need to register before you can proceed. We require your address and billing information be on file and up to date. Existing customers as long as nothing has changed you can proceed.

New Customer

Existing Customer

Do you need to update your billing information?*

Only for existing clientele

Yes

Contact Information

Name*

First Last

Email*

Preferred Number*

Home

Work

Cell

Home Phone*

Work Phone*

Cell Phone*

Do you have a second phone?*

If we can't reach you at your preferred number

Yes

Second Phone Number*

Please select the Dress Name & ID of each dress you would like returned.

Dress #1

Dress Name & ID*

Specify reason for return*

One-Time Complimentary Owner Rental

Conclusion of Registration (e.g. expired registration).

Cancellation of Registration Contract

Cancellation Fee

Price:

Shipping Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Special Instructions:

Delivery Preference

Dresses are delivered signature required, please provide an address that someone will be at during the day. We use FedEx as our shipping company, and they do not deliver to P.O. Boxes. We will email the tracking number once shipped. Your bill to and ship to addresses may be different. Shipping cost will appear as a separate transaction on your credit card statement unless using a FedEx Account Number.

Please Choose:*

Pick up dress from the EBC Studio

Pick up dress from an event

Domestic Shipping Options

International Shipping Options

FedEx Account #

Domestic Shipping Options*

FedEx SameDay
Same day cross-country: Delivered door to door within hours, USA only.

FedEx First Overnight
Earliest Next Business Morning: Delivered by 8:00 AM Mon-Sat in highly populated areas or by 10 AM Mon-Sat in less populated areas.

FedEx Priority Overnight
Delivered by 10:30 AM Mon-Fri in highly populated areas or by 5 PM Mon-Fri in less populated areas.

FedEx Standard Overnight
Delivered by 3 PM Mon-Fri in highly populated areas or by 4:30 PM Mon-Fri in less populated areas.

FedEx 2 Day AM
Second Business Morning: Delivered by 10:30 AM Mon-Fri in highly populated areas or by 12 PM Mon-Fri in less populated areas.

FedEx 2 Day
Second Business Afternoon: Delivered by 4:30 PM Mon-Fri in highly populated areas or 7 PM Mon-Fri in less populated areas.

FedEx Express Saver
Third Business Day: Delivered by 4:30 PM Mon-Fri in highly populated areas or before 7 PM Mon-Fri in less populated areas.

FedEx Ground
1-7 Business Days: Delivered Mon-Fri in 1–5 business days within the contiguous U.S.

International Delivery Options*

FedEx International Next Flight
Same Day: Ships your package on the next available flight for urgent shipments.

FedEx International First
1-2 Business Days by 8 AM: Delivery to key global markets Mon-Fri with Saturday pickup available in many areas.

International Priority
1-3 Business Days: Delivery available Mon–Fri, with Saturday pickup and delivery available in many destination countries.

International Economy
2-5 Business Days: Delivered Mon–Fri, with Saturday delivery available in countries where Saturday is a regular business day.

Event Name*

Event Date*

MM slash DD slash YYYY

Billing Information

By clicking submit, you are formally requesting to have Encore Ballroom Couture to return your dress(es) that are currently registered in our inventory. By pulling your dress prior to the original expiration date of your Registration Contract, there will be a penalty of $250, plus shipping costs. You understand that by pulling your dress, it will no longer appear on our website or be available to our clients for try-on, rental or purchase. You authorize full payment of any pull fees and shipping cost (if applicable) to be charged to the credit card you have provided on this contract, prior to shipment. You verify that you are of legal age (18 years or older) and legally authorized to use the credit card and/or FedEx account number provided in this form. In the future, if you would to re-register the dress you are requesting back, the $80 registration fee will apply. Thank you for entrusting our company with your dress and we look forward to working with you in the future!

Total

This $1.00 authorization charge is needed to ensure that your card info is valid. It will fall off after 7 days.

Credit Card

Card Details

Cardholder Name

Counter Authorization

Counters Authorization product so customer does not see it on the front end

Customer Authorization

IMPORTANT: This "product" is used as a placeholder to save the customer's data in Stripe. The customer is never charged this amount.

Name

This field is for validation purposes and should be left unchanged.