* required field
PLACE AN ORDER
Congratulations on your engagement, thank you for making an appointment with La Reine Bridal.
BRIDAL
La Reine
Come in as a Princess ... leave as a Queen
Bridal Party's Date *
Today's Date
Wedding Date
Your Name *
Phone #
E-mail
Shipping Address:  If you would like to pick up your gown directly from La Reine Bridal, please leave blank; 
                                  otherwise, please specify a shipping address  for an $ extra fee
Manufacturer
Style Number
Color
Measurements:  If you are requesting different measurements other than are listed in the charts below - (in inches)
Bust
Waist
Hips
Height (YES or NO)
Size Requested?  (YES or NO)
CLICK TO SEE SIZE CHARTS by DESIGNER * (.pdf file)
* Please be sure to check below in the size charts provided- by choosing the size that best fits your largest measurements you will be choosing the size most accurate to your body. Understand that the gowns are NOT custom fit to your measurements; they are only requested to get the closest possible fit. Also, be aware that some of the larger sizes require extra fees depending on the designer; any height above 5’9” should also request extra length. (extra fee)
Designer Name
Size
Bust
Waist
Hips
Payment Information:  * We accept Visa or MasterCard for the full amount of payment.
Cardholder Full Name
Credit Card Number
Security Code
Expiration Date
Billing Address
** Additional Charges will apply for Shipping / Handling and Tax
Please select  the following option for an additional charge:  Gown Preservation (YES or NO)