Name:

Home Address:

City: State: Zip Code:

Phone Number Home: Phone Number Office:

I am part of the group.

will need this outfit on: .

Please deliver and pickup my outfit from the bell captain at the Hotel.

OR

I will pickup my outfit from your store.

I have rented from M. Stein before please use the measurement from the last order

Coat size is:

My Pants size is: inch waist with a inch INSEAM.

My Shirt size is: inch neck with a inch sleeve length.

My Shoe size is: if necessary.

If you know or want a specific style or have any other specific descriptions please enter here:

Your outfit must be paid for in advance by credit card!
You may fill this out or call 202.659.1434 with credit card number.

Credit card:

My Credit card number is: Expires:

Please type letters in the box as a security check

Hours: Monday - Friday 10:00AM until 6:00PM.
Saturday 10:00AM until 2:00PM.
We will call you to confirm we received you order.
Thank you for Choosing M. Stein & Co.

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