Garment Rental Request Form

15 April 2013, Comments: 0

Garment Rental Request Form

 Add Remove Change
Please note, that ALL changes to your rental program will only be issued upon receiving a signed & complete Garment Request form.
This form may be submitted via, in-person, fax or email (preferred).
Please allow up to 3 - 5 business days to complete Requests.
Company Name:
Phone #:
Contact Name:
Position:
Delivery Location:     Locker # for delivery (if applicable):
Contact #:     CU#:     RO/RV#:     PO/CC#:
Quantity: 3- Pair 7- Pair 9 - Pair 11- Pair   Other:
Employee Full Name:
Name on Uniform:
Garment Size:  Regular Tall     Actual size:
3M Reflective Required?  Yes No
Type:  Nomex IIIa Poly/Cotton FireZero
Style:  Coveralls Pants Shirts
Sew Crests Required:  Yes No If yes: Are Crests Supplied?  Yes No
For Any Change Requests, please include all of the information from which you are changing in the 'Comments Area' below.
All Garments are Required to be Labeled.
Company and Employee Names are applied above the left breast pocket.
Delivery of Garments Required:  Yes No  Pick-Up at COVERALL Store
Date: Customer Name:
Comments:
Authorized Customer Signature: ____________________ Date:
Print Name: Phone #:

Contact email: rentals@getcoverall.com