Simon's Formal Wear Rental Request Form

Your Name:


Groom's name:


Wedding date:


Store location most convenient for pickup:
Store location Savannah Hilton Head Augusta

Your Address:


City


State: Zip:

email address:



Phone (with area code)


Coat size: Ht: Wt: Waist:

Outseam: Neck: Sleeve:

Shoe size:

Additional info:



Credit Card Type**:
Please select type of credit card Visa Mastercard Amex Discover Other


Credit Card No.:

Exp date:

If your billing address is different from the address above please enter it here:
Billing Address:


City


State: Zip:

**If you prefer you may call in your credit card at any of our three locations.