'Candelabra Only' Hire Order Confirmation & Declaration of Intent
Please print out and return this form together with a cheque, made payable to Jean Dalglish, to:
Jean Dalglish, By Arrangement, 37 Market Place, Thirsk, North Yorkshire YO7 1HA
I enclose a cheque for £                     being 50% of the cost of the basic Equipment Hire charge by way of a desposit to secure my order as follows:
Function          
Place Date        
Equipment & Consumables          
Ref Description Hire Charge
per item per week 		Quantity
(max 30) 		Total Amount
BA11/3G Candelabra Table Decoration, 915mm [3'] antique gold £10.00   £    
BAC110 Chapel Candles 250/22mm ivory – boxes of 12
(5 needed per piece) 		£6.00/box   £    
* BAC111 * Chapel Candles 300/22mm ivory – boxes of 20
(5 needed per piece) 		£12.00/box   £    
  * Recommended for longer burn!
    £   £    
    £   £    
(Please tick
if required) 		'Guidelines for Flowering-up Candelabra' Free 1 £ 0    
Total       £    
Declaration:

• I understand that all losses, breakages and other damages must be paid for in full.

• I hereby agree to return the Equipment in a clean condition by removing all the candle wax and dead candles from the Candelabra candle-cups and holders before boxing up in accordance with 'Refurbishment & Boxing-Up Instructions' as supplied by By Arrangement. I understand that, in so far as this work may not have been carried out by me, an additional charge will be made to cover it.

• I undertake to pay in full the balance of all oustanding charges due within 30 days of receipt of final invoice
Signed Date        
Name (BLOCK LETTERS)          
Address          
Postcode   Telephone (Home/Work/Mobile):          
Email