Please print and fax to us.

Groom's Name ____________________________________________

Wearing Date ____________________

Your Name _______________________________________________

Phone # ( ) ____________________

City ____________________________________ State ___________ Zip Code____________

 
Coat: Size ______ (Circle One) S R L XL Coat Insleeve ____ Chest: Under Arm _____ Over Arm _____

Pants: Waist ________ Hip _________ Length Inseam __________ Outseam ____________________

Shirt: Neck ________ Shirt Sleeve ________ Height _________ Weight ________________________

Shoes: Size _________ (Circle One) Med. or Wide Age (if child) _______________________________

Payment Information: Please include a $40.00 Minimum Non-Refundable Deposit

For your convenience you may enclose a check or include your credit card number using the spaces

provided. Credit Card (circle one) Visa  MasterCard  Discover  American Express

# __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration Date ________ / ________

Your tuxedo is due back Monday before 6:00 pm or a late return fee of $25.00 per day will be charged.