This is a simple order form which the reader may fill in and then call in or fax.
Order Form - CASTEX RENTALS
1044 Cole Avenue • Hollywood, Ca 90038
Phone: (323) 462-1468 • Fax: (323) 462-3719

Customer Name:

Pickup:

Address:

Return:

City:State: Zip:

NOTES :

P.O. Nbr:Phone Nbr:

Production Nbr: Ordered by:

Title:



QTY

ITEM

DAILY PRICE

Received By:

Signature:_______________________________________

Please Print Name

______________________________________

Make copies of this form to fax your Order
Please call to verify your fax has been received and equipment is available
.
All returns are due by 10:00 A.M.


Please call (323) 462-1468 to place an order.
Or fax us this form to (323) 462-3719 and then call to confirm your order and price.