Celette Fixture Rental Form RO # Order Date Date Format: MM slash DD slash YYYY Company Name Address Street Address City State / Province / Region ZIP / Postal Code Phone # Ext # Fax # Customer Name Car Make Model Year VIN # Body Code Production Date Date Format: MM slash DD slash YYYY Damaged Area Choose One 2WD 4WD Choose One Sedan Coupe Wagon Convertible Comments Your Name Please estimate days of use Customer pick up Yes No Freight company delivery Yes No Liftgate delivery Yes No CAPTCHA Phone This field is for validation purposes and should be left unchanged.
