Benitas - Request an Appointment

Call 360.692.9600 or complete this form to schedule a bridal appointment.

Take $100 Off
your bridal gown*
Request an appointment today to get your coupon!
Offer valid 12/15/2009 to 1/31/2010

request an appointment form *required
*Brides Name:
Grooms Name:
*Phone / Contact #:
*Email:
*Wedding Date:	mm/dd/yyyy
Request Appointment Date:	mm/dd/yyyy
*Brides Address:
*Brides City:
*Brides State:
*Brides Zipcode:
Notes/Comments:
	I am interested in $50 Off my Wedding Photography (www.crystal-pixel.com)
	This form does not guarantee an appointment. A benita’s consultant will contact you to confirm date/time. Information kept secure and confidential.