Make An Offer - Encore Ballroom Couture Encore Ballroom Couture

New Or Existing Customer?*
- New Customer
- 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.
Do you need to update your billing information?*
- No
- Yes
Only for existing clientele

Shipping Information
We use FedEx as our shipping company of choice, and they do not deliver to P.O. Boxes. Dresses are delivered signature required, please provide an address you can be reached at during business hours. 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 One*
- Already Have Dress
- Add Shipping Information
Name
First Last
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Special Instructions

Credit Card Authorization
Total
$0.00
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
Terms & Conditions
By clicking submit you agree to all Terms and Conditions set forth in this Make An Offer Contract. You verify that you are of legal age (18 years or older). You authorize and consent to the payment of the agreed upon amount. You authorize full payment and the 5% credit card processing fee to be charged to your credit card, OR to pay by check (saving the 5% credit card processing fee) by mailing payment, OR for International clients to pay by credit card or International Wire Transfer and any wire transfer fees, after submission of this form. You certify you have the authority to use the credit card provided in this contract. In addition you authorize the processing of your selected delivery preference (if applicable) and the charging of the shipping cost to the credit card or FedEx Account number you have provided. All sales are final.
Authorization Correction
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.

Contact Information