Rental Slip – Service and Sales Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYOUR EMAIL *This will be used to confirm your entryAdditional EmailFor manager approvalDistrict Sales Manager EmailFor CD repsCompany Name *Stop # *Customer # *Product Selection *UniformsRestroom ProgramMatsTowelsMopsWearer NameFirstLastWearer #Uniform Changes *Select your changeSize/Style ChangeIncrease QuantityDecrease QuantityAdding a WearerRemoving a WearerShortageInspection NeededSample RequestTransfer WearerLayoffBack in from OutBack in from LayoffUniform TypePantsShirtsSweatshirt or JacketCoverallsShop CoatLab CoatShop ApronFrockFender CoversWaist SizeChoose One283032343638404244464850OtherLength SizeChoose One2830323436OtherSelect for pants only - Shorts are available in 12 in only Add Sizing Notes *Perma PressPT20BKPT20BNPT20CHPT20NVPT20SGPT20WHPT21BK - (ladies)PT21NV - (ladies)Ladies Size Needed *PT2LPT2LBKCargoPT2ABKPT88BKPT88NVCottonPC20CHPC20DNPC20SGJeans - PD60PWJeans - PD80SWJeans - PD63PW (Ladies)FR - PEW2CHFR - QP10NVFR - PEJ8DWLadies Size Needed (copy) *DressE-2534BKE-2534TNE-2588STGYPT38BKPT38CHPT38KHPT38NVShortsPT66BKQuantity NeededIf multiple styles are needed, include # needed with each style numberPants Pressed and HungYesShirtsSizeChoose OneSMLXL2XL3XL4XLOTHERSize NeededLengthSSRGLNSSLNumber of SSNumber of RGNumber of LNNumber of SSLPerma PressSP10 (20) BWSP10 (20) CWSP10 (20) EXC-CHECKSP10 (20) HK-CHECKSP10 (20) KB-CHECKSL10 (20) WBSP14 (24)SP14 (24) BKSP14 (24) DBSP14 (24) LBSP14 (24) LTSP14 (24) RDSP14 (24) WHSP14 (24) CHSP14 (24) GYSP14 (24) LGSP14 (24) NVSP14 (24) SGSP14 (24) EX-STRIPEOtherSY32 (42) BCSY32 (42) BRSY32 (42) CBSY10 (20) BRMimixSX10 (20) LGSX10 (20) LBSX10 (20) CHDealership: SY14(24) & SP16(26)SY14 (24) CVSY14 (24) FDSY14 (24) GBSY14 (24) HDSY14 (24) MPSY14 (24) NSSY14 (24) TTSP16 (26) LBSP16 (26) NVSP16 (26) WHCotton: SC30(40) & SL10(20)SC30 (40) DNSC30 (40) GGSC30 (40) LBSC30 (40) SGSC30 (40) WHFlame Resistant - QS40QS40GYQS40LBQS40NVEnhanced Visibility - SP14(24) & SC30(40)SP14 (24) EGSP14 (24) ENSC30 (40) ENHi Visibility SY14 (24)SY14 (24) YCDressSR60 (70) LBSR60 (70) WHD640 FR BlueD640W (ladies)PoloCS418BKCS418CHCS418RBCS419BK - LadiesCS419CH - LadiesCS419RB - LadiesQuantity NeededIf multiple styles are needed, include # needed with each style numberShirts Pressed and HungYesSweatshirts & JacketsHJ10BKHJ10YBJT50BKJT50CHJT50NVJT38BKJT38CHJT38NVQuantity NeededSizeCoverallsCT10NVCK44NWCC14NWQuantity NeededSizeShop CoatShop Coat - KT30NVLab - KP10 (SH) LBLab - KP10 (SH) WHLab- KP14 (LN) LBLab - KP14 (LN) WHShop Apron - 839N1P (straps)Shop Apron - 8391P (Eyelets)Frocks - 1200K WHFrocks - 1200K MGYFrocks - 1200K WBLFender CoversSizeQuantity NeededIs a company logo or name needed?YesNoCOMPANY LOGO & NAME INFO - Please indicate all that applyEmbroideryLogoNameCompany Name (Just Lettering)NoneEmblemComp w/ NameCompNameFlagNoneLogo #Name Color (Border/Background/Letter)Name on EmblemMopsMop Changes *Select your changeAdd new productsIncrease QuantityDecrease QuantityMop Options18” Dry Mop24” Dry Mop36” Dry Mop48” Dry Mop60” Dry Mop72” Dry MopMicro Fiber Wet MopsRestroomRestroom Program Changes *Select your changeAdd new productsIncrease QuantityDecrease QuantityRestroom Product *Towel or Tissue DispenserPaper ProductsSoap or SanitizerAir FreshenersUrinal ScreensRestroom MatsCan LinersLayoutPaper Dispenser *EPIK245BK - Epik HRT BlackEPIK245WH - Epik HRT WhiteEPIK245RE - Epik HRT RedHRTDISP201 - Lever BlackNPSCPDISP - Center Pull BlackEPIK27BK - Jumbo Twin BlackEPIK27WH - Jumbo Twin WhiteEPIK27RE - Jumbo Twin RedRD00321 - Mini Twin BlackPaper Type *NPS30400 - Natural Roll for LeverNPS40800 - Natural Roll for HRTNPS25525 - Center Pull TowelNPS19920 - Jumbo Bath TissueNPS12325 - Single Roll TissueAir Freshener Dispenser and Scents *TW100B - Mini Odor DISP BlackTW100W - Mini Odor DISP WhiteTW100R - Mini Odor DISP RedCucumber MelonOrange GroveMountain BreezeCherriesMangoLayoutSoap and Sanitizer Dispenser *9007epkB - Manual Black9007epkW - Manual White9007epkR - Manual Red9107epkB - Touch-Free Black9107epkW - Touch-Free White9107epkR - Touch-Free RedWMU5525 - Industrial ScrubSoap and Sanitizer Type *Antibacterial Foam Hand WashAlco-Foam Hand SanitizerMichigan Cherry Tuff Industrial ScrubNotesTowel Changes *Select your changeAdd New ProductsIncrease QuantityDecrease QuantityShortageTowel Selection *Shop TowelsWhite Shop TowelsShop MicrofiberFood MicrofiberGarage TowelsHand TowelsBath TowelsWash ClothesBar TowelsDish TowelsApronNotesMat Changes *Select your changeAdd New ProductsIncrease QuantityDecrease QuantityShortageSample RequestMat Type *Logo MatScraperClassic (colorstar)Comfort FlowWaterHog PlusAdditional Instructions/Comments:Information on sku#, quantity changes, wearer, or other information.Submit
