a man and woman on a stage

Rental Request Form

First Name:
Last Name:
Organization Name:
Email Address:
Address:
City:
State:
ZIP Code:
Phone Number:
Theater/Organization Classification:
Project Name:
Opening Date:
Closing Date:
Project Information:
Accounting Contact:
Billing Address:
Billing City:
Billing State:
Billing ZIP Code:
Billing Phone Number:
Tax Exempt Number:
Purchase Order Number:
I understand that submission of this form is NOT a guarantee of a costume rental, and that a First Stage representative will contact me to confirm.: