Alexa Bridal Couture Atelier Inc.
914-395-1900 main 914-395-1901 fax
SPECIAL ORDER SALES CONTRACT
DATE: _______________ WEAR DATE: ____________
INVOICE #____________________________PURCHASE ORDER____________________
NAME:________________________________________________________________
ADDRESS:______________________________________________________________
CITY, STATE, ZIP:________________________________________________________
HOME PHONE:___________________________________________________________
CELL PHONE:_____________________________________________________________
BRIDE | BRIDESMAIDS | MOTHER | SOCIAL | FLOWERGIRL | ACCESSORIES | OTHER
Order Information:
Designer/Manufacturer Brand Name:___________________________________
Style:#____________________________________________________________
Color:_____________________________Trim/Sash:_______________________
I, the purchaser/customer want and agree to order the following Size:_________
*Measurements: See Measurement Guide and Sizing Hints on Our Site.
Please check with the Designer/Manufacturer size charts for the correct size to order.
Bust:______________
Waist:_____________
Hips:______________
Length Hollow to Hem:__________Center Seam to Hem: ________________
Length Hollow to Floor:__________Center Seam to Floor:_______________
X-Length: Yes / No_____________ Other:___________________________
CUSTOM ORDER NOTES & SPECIAL INSTRUCTIONS:______________________________
____________________________________________________________________________
Quanitity:___________________
Price: $ _________________
Shipping Fee: $_________________
Insurance: $__________________
Sales Tax: $__________________
Total: $__________________
Deposit: $__________________
Balance: $__________________
Billing Information: ________
Name on Card/Check:__________________________________________
Address _____________________________ _______________
City, State, Zip ________________________ __________________
Relationship to purchaser _____________________________
Credit Card # _______________________________________
Type _________ Exp ___/___/___ Security Code _ ___________ _
New York Residents MUST Pay Sales Tax
Payment Plans & Layaways are available. Balances are due within 60 Days of Purchase Date.
All Balances must be paid before alterations or work order is applied.
Date of Payment: ________Amount: $_______Cash/C.C./Check #_______Bal.Owed: $_________
Date of Payment:________ Amount: $_______Cash/C.C./Check#_______ Bal.Owed: $_________
Date of Payment:________ Amount: $_______Cash/C.C./Check#_______ Bal.Owed: $_________
ALL SALES ARE FINAL SALE. SALES ORDER CONTRACTS CANNOT BE CANCELED.
NO CREDITS OR REFUNDS.
The undersigned agrees that this dress/item is a special custom order for me, the purchaser.
Orders cannot be canceled nor can any substitutions be made so ever, including but not limited to,
cancellation of the event/affair, purchaser physical condition(s) and any/ all circumstances that may
arise. Any cancellations of a special order will result in deposit forfeit, the purchaser is still liable for
the total balance owed. There is no verbal understanding that may alter or modify this contract. Alexa
Bridal Couture Atelier Inc. and/or our seamstress/consultants are not liable. We are not liable or
responsible for orders not paid or picked up within 7 days by notification or by date of the event/affair.
a $25 a week storage fee will be applied to the balance owed. I have looked at the size chart that has been
shown, given and sent to me. Payment of all open balances on layaways and on all sale contracts must be
paid in full, within 60 days from original purchase date. All acts of service and sale on any and all
occurrences associated within, are considered confidential between the client/ purchaser and merchant
/retailer. This includes blog, forum, posts or reviews made public via email, mail, internet and/or
verbally. The author of such, is liable for information deemed within. This agreement is a binding contract
upon the purchaser(s), heirs and understood by all and both parties as final. Non-payment will result in
purchasers agreed responsibility for cost of collection, law suits filed, any and all punitive damages
and attorney’s fees. Thank you.
X_______________________________________
Signature of Purchaser
