Bridal Gown Assessment

General Information

Bride’s Name

Email:

Phone:

Cell:

Address:

Referral:

(Store Name):

Designer:

Value of Gown:

Wedding Date/Age of Gown:

Color:

Gown Description

Items:

Silhouette:

Materials:

Fabric Finish:

Soil/Stains:

Damage:

Gown Inspection

Check All Issues

Services Needed

Door to Door Cleaners has permission to photograph my wedding gown and use photos online:

Comments/Instructions:

Repairs:

Viewing Your Preservation

I would like to view my gown before it is boxed:

NOTE: Your gown has to be in its preservation chest within two weeks of completion. You must view
the gown within that two-week period or we will have to complete the preservation process.

Contact Date:

Customer Initial:

Delivery Information

Date & Time Requested:

Location:

Instructions:

Contact Person & Phone (other than bride):

Customer Signature:

Date:

Manager Signature:

Date: