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Get Mia Tuxedo Rental Agreement

Mail: ________________________________________________ Address: _______________________________________________City_____________________ State _____ Zip Code____________ (A VALID CREDIT CARD MUST BE ON FILE TO RESERVE TUXEDOS AND/OR ACCESSORY ITEMS) Card Type ______________Name on Card _______________________________ Card Number _________________________________________________________ EXP Date: ______________ V# ________ (3 digit verification #) Zip Code__________ (Store use only: authorizatio.

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