Theatrical Costume Rental Reservation Form

Phone: (800) 256-8645
or
(412) 381-7733

Fax: (412) 381-0260

1503 E. Carson Street
Pittsburgh, PA 15203

To reserve a costume, please fill in the information below, and click the submit button at bottom when you are finished. A representative of our company will call you back to confirm the details of your reservation and process your order. You will also receive a copy of this form with your order.

Fields marked in red are required.

Date P.O. No.
Tax Exempt Number
Bill to Name/Company

Bill to Address (street, city, state, zip)

Ship to Name/Company

Ship to Address (street, city, state, zip code)

Telephone (Day) Telephone (Evening)
Fax  
Production
Date(s) of Use Ship Date/Via
Return Date  

Costume Description (# 1)  Costume Size(s) (# 1)
Costume Description (# 2)  Costume Size(s) (# 2)
Costume Description (# 3)  Costume Size(s) (# 3)
Costume Description (# 4)  Costume Size(s) (# 4)
Costume Description (# 5)  Costume Size(s) (# 5)
 Costume Description (# 6)  Costume Size(s) (# 6)