RENTAL FORM

Please fill out this plant rental form to expedite your service. One of our associates will get back to you as soon as possible to talk about the details of your occassion. Thank you for choosing Creative Plant Rentals.
General Information     *10 Digit No Dashes  -   Red Fields are Required
Your name	*Phone
*Cell	*Fax
Email

Billing Information
Name	*Phone
*Cell	*Fax
Address 1
Address 2
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Email	CPR Contact

Event Information
Type of Event
Event Date	*Phone
On Site Contact	*On Site Cell
Delivery Date	Time
Strike Date	Time
Event Location
Address
Room
City	State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin	Zip
Email	CPR Contact

Plant Rental Request	Payment Information
	COD		Credit Card Type American Express Discover Mastercard Visa Paypal
	Pre Pay
	Authorized Credit Terms
	Credit Card
Comments

We do wedding and wedding receptions and make your special day wonderful.

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We can make your Ballroom/Convention Event stand out and give it the look and feel that you need

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