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The Rag Place, Inc.
The Rag Place Rentals, Inc.
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13160 Raymer Street
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Email Form
North Hollywood, CA 91605
818.765.3338 • FAX: 818.765.3860
SHIPPING REQUEST FORM
CUSTOMER_________________________________ORDER NO_______________SHIP DATE_______________
Thank you for your order. Please complete the following information. We will do everything possible to process shipment; however,
we cannot be responsible for any third-party shipper. The Rag Place’s responsibility ceases upon the delivery of the shipment to the
carrier. Any loss or damage occurring in transit is the responsibility of the carrier and buyers are advised to immediately notify the
carrier in writing within 24 hours of any such loss.
SHIP TO:
RESIDENCE
BUSINESS
_____________________________________________________________________________
_____________________________________________________________________________
ATTN_______________________________________ PHONE__________________________
PLEASE CHARGE SHIPPING CHARGES TO (CHOOSE ONE)
CREDIT CARD (PREPAY & ADD) (Please complete Credit Card Authorization Form)
*YOUR FEDEX/UPS ACCOUNT NO ________________________________________________
*PLEASE BE ADVISED THAT WE CAN ONLY SHIP ON CUSTOMER ACCOUNTS WHO HAVE AN OPEN
ACCOUNT WITH THE RAG PLACE; ALL OTHER SHIPMENTS WILL BE CHARGED TO THE CREDIT CARD
PROVIDED
E-MAIL ADDRESS____________________________________________________________
(For shipping/tracking notification, FedEx & UPS only)
SATURDAY DELIVERY
NO SIGNATURE RELEASE (LEAVE AT ADDRESS – NO SIGNATURE REQUIRED)
Shipper: (Select One)
Service: (Select One)
FedEx
First Overnight (Select Locations Only)
Priority Overnight
Standard Overnight
Second Day
Express Saver
Second Day A.M.
Ground (min. $10.00 charge will be added)
Fed Ex International
First (Select Locations Only)
Priority
Economy
Ground (Puerto Rico and Canada Only)
nd
UPS
UPS Next Day Air
UPS 2
Day Air
nd
UPS 3 Day Select
UPS 2
Day A.M.
UPS Ground
UPS International
UPS Worldwide Express
UPS Worldwide Expedited
Other __________________________________________________Acct. No. ______________________________
Contact Name_____________________________________________Telephone No.________________________
SIGNATURE_____________________ PRINT NAME_______________________DATE___________

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