Bride's Name

First Name

Last Name

Brides Email

Name of person picking up

*Please make sure this is someone that can trust to look over your gown

First Name

Last Name

Phone # of person picking up

(###)

###

####

Pick up Date

YYYY

Confirm pick up

I authorize the person above to pick up my wedding dress & accessories. I am aware that once the gown and/or accessory leaves the store, Emily Hart is not responsible for any garment damages/alterations. Type your name below to confirm.

Items being picked up

Bridal Gown

Veil

Belt

Slip

Bra

Mother's Dress

Jewelry

Wedding Gown Preservation