Rental Contract A New Leaf
102 Bishop Street
Winston Salem, NC 27104
336-765-3390 fax 336-760-4027 Today's Date: ________ Delivery Date:________ Event Date: ________ Pickup Date: ________
Company Name: ______________________________________
Payment Method:_______________ Person Responsible: __________________
Billing Address: ______________________________________________________
___________________________________________________________________
Phone Number: _____________________ Fax Number: _______________________
(The customer is responsible for the full retail value of plants and containers in the event of loss or damage) Deliver To:_____________________________ Type of Event: ________________
Address: ___________________________________________________________
Directions:__________________________________________________________
Special Instructions: ___________________________________________________ Type of Container | Qty | Description | Dark | Light | Brown | White | Rental Fee | Total | | | 6' Ficus (14") | | | | | 28.00 | | | | 6' Ficus with Lights | | | | | 35.00 | | | | 5' Palm (14") | | | | | 28.00 | | | | 4' Palm (12") | | | | | 20.00 | | | | 3' Spath (10") | | | | | 20.00 | | | | 3' Janet Craig (10") | | | | | 20.00 | | | | 10" Fern | | | | | 10.00 | | | | 8" Table Plant | | | | | 12.00 | | | | 6" Table Plant | | | | | 7.00 | | | | Blomming Plants (various sizes available) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Delivery: | |
October - March Rentals: no more than 4 silk ficus and/or 4 palms an we must have 2-3 weeks notice.
Subtotal: __________ Rental Fees apply for one (1) day up to one (1) week and include a basket and moss. Tax:______ Other plants may be substituted for ones listed above. All plants subject to availability. Discount:__________ Subtotal: __________ Delivery/Pickup: In Winston-Salem - $40.00 Deposit: _________ Outside: Winston-Salem - Determined by location. Total: ___________ | 
