Garment Rental Request Form

15 April 2013, Comments: 0

Garment Rental Request Form

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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- Pair7- Pair9 - Pair11- Pair   Other:
Employee Full Name:
Name on Uniform:
Garment Size: RegularTall     Actual size:
3M Reflective Required? YesNo
Type: Nomex IIIaPoly/CottonFireZero
Style: CoverallsPantsShirts
Sew Crests Required: YesNo If yes: Are Crests Supplied? YesNo
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: YesNo Pick-Up at COVERALL Store
Date: Customer Name:
Comments:
Authorized Customer Signature: ____________________ Date:
Print Name: Phone #:

Contact email: rentals@getcoverall.com