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Existing Customers
Please complete this form below and when you are finished click the Submit button below. Some one from Corporate Amenities will be in contact with you shortly.

Fields marked with a * are required.

Name of Company or Apartment Community*: 
(If you are renting housewares or furniture for 
personal use, please enter "Individual") 
Name of Contact*: 
E-Mail Address*: 
Confirm E-Mail Address*: 
Telephone: 
Type of Request*: 
Date of Delivery, Pick Up, or Make Ready/Re-Set: 
(Weekdays only please) 
Property*: 
Phase: 
Apartment Number: 
(You may leave this blank if this 
is not an apartment community) 

Address
(You may enter only the city unless the location is not an apartment community) 
Street Address: 
City: 
State: 
Zip: 


If this is a new delivery, please fill out the following:
Length of Lease: 
What is the length of this lease:
How many bedrooms need furniture and/or housewares*: 
How many bathrooms need housewares*: 
What kind of furniture would you like in your package? 
(All packages with furniture include a 25" TV and pictures) 
Please let us know which customized furniture package you are requesting
What kind of housewares would you like in your package? 
Please let us know which customized housewares package you are requesting
What bed sizes would you like in each bedroom:   
Master*: 
Other requests for the master bedroom
2nd: 
Other requests for the 2nd bedroom
3rd: 
Other requests for the 3rd bedroom
4th: 
Other requests for the 4th bedroom

If you are requesting a new delivery and would like Upgrades or if this is an existing order and you are requesting Add-Ons, please check what you would like below.
DVD
    19 Inch Color TV
    25 Inch Color TV
    32 Inch LCD TV
    Crib with Mattress and Linens
    High Chair
    Changing Table
    Microwave
    Desk, Chair, and Lamp
    Pictures (if you are not ordering a furniture package)
    Washer and Dryer
    Welcome Basket
      Other
 
If you are requesting a new delivery and would like housekeeping or if this is an existing order and you are requesting housekeeping, please check how often you would like it.
If you are requesting a change to your existing package or if this is a maintenance request, please describe what we can do for you.
If this is a pick up request, would you like us to perform a Final Clean? 
Is there anything else you’d like us to know about your request?


14059 Proton Road - Dallas, TX 75244 - Tel: (800) 894-9686 / (972) 361-0633 - Fax: (972) 361-0634 - EMAIL US

© 2008 Corporate Amenities