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Special Order Rental Price List

*(Please pay for rental items below and overnight lodging with a separate check payable to Susanne Miller)

Name ________________________ Event ____________________ Date _______________

Rental Options:                                                                                                             Total ($)

Bonfire ($100.00)             .            .            .            .            .            .                  .        ______

Tableclothes:

• Round Table Toppers ($10.00 each)

      White (#) _______             .            .            .            .               .            .        ______

      Red (#) ______                        .            .            .            .         .            .        ______

      Western Theme (#) _______             .            .            .              .            .        ______

           (denim, red, and plaid assortment)

      Christmas Theme (#) _______             .            .            .              .         .        ______

š ›

• Rectangle Table Toppers ($10.00 each)

      White (#) _______             .            .            .                .            .            .        ______

      Red (#) _______             .            .            .            .                   .            .        ______

      Christmas Theme (#) _______             .            .                .        .            .        ______

š ›

• Round & Rectangle Floor Length Skirt added under Topper ($5.00 each)

      Burlap (#) _______             .            .                 .            .          .            .        ______

      Black (#) _______             .            .               .            .            .              .        ______

• Round & Rectangle Table Runners ($4.00 each)

      Western Theme (#) _______             .            .            .               .            .        ______

š ›

• Country French Toille ensemble ($15.00 each)

      Ecru & Barn Red with Burlap Floor Length Skirt (#) _______               .            ______

      Matching Cushion Covers Available             .            .            .                   .        ______

š ›

• 16 Foot Buffet Floor Length Skirt with Topper ($50.00/set)             .       ______

š ›

• Wedding Cake Table Overlay & Skirt - White ($25.00)             .           .          .       ______

Accessories:

• 8” Tabletop Lanterns W/ Tea Lights -35 total ($2.00 each)    .                           .       ______

• 10” Rooster centerpiece, holds vase or glass enclosed candle

             10 total ($2.50 each)             .            .            .                     .            ______

• Authentic Cowboy boots w/ vase inside ($2.50 each)             .               .           .       ______

• 24” tall rustic candelabra for buffet – one pair ($20.00/pair)                    .          .        ______

• 24” tall “candle tree” in flower pot – 4 total ($10.00 each)    .            .                         ______

• Ivy Topiary centerpieces ($8.00 each)             .            .            .           .           .         ______

Additional Items   .            .            .            .            .            .            .                     .         ______

                                                                                 Sub-Total……                                    ______

                                                                                 Tax …………                                     ______

                                                                                 Balance Due …….                             ______  

 

Signature _____________________________________________ Date _____________

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