Fill in ALL the information below. Have a Formalwear store or Men's store take your measurements. DO NO TAKE THEM YOURSELF! Please give one weeks notice. A $20 depoist must accompany each order and will be forfeited if cancelled. Send check, money order or credit card number and date for pick-up. The $20.00 goes toward your rental, and the balance must be paid when order is picked up.

Name* Address* City* State* Zip Code* Phone* Email*

Groom Groomsmen Usher Father Ringbearer Occasion (Give Groom's name if wedding) Exact Date to be Worn Suite Size (if known) Coat Size (if known)

	Your Height	ft.	in.
	Your Weight	lbs.
	Chest Measurement	in.
	Waist Measurement	in.
	Hip Measurement	in.
	Trouser-Inseam or Outseam	in.
	Shoe Size (if wanted)
	Shirt Size (if shirt is wanted)

3518 Broadway | Fort Wayne, IN 46807 | Phone: (260) 744-5100 | info@rogersformalwear.com