Your Name Your Address City , CA Zip Code Your e-mail Your Phone High School Date of Prom Style (See Styles) Please select Perry Ellis Glory 4 Button Notch Cutaway Tuxedo Stroller Tuxedo 3 Button suit Perry Ellis 3 Button Tuxedo Perry Ellis 2 Button Vail Tuxedo Perry Ellis 4 Button Vail Tuxedo Chaps Hudson 2 Button Tuxedo Hudson Full Dress Tailcoat Chaps Madison 2 Button Tuxedo Pierre Cardin Slide Lord West 1 Button Notch Lord West 1 Button Notch Pierre Cardin 1 Shawl Collar Lord West White Din Jacket Will decide later Need help choosing Pickup Location Santa Barbara Ventura Oxnard Additional Comments/Questions
	Mission Tuxedos Sales and Rental 135 West Mission Street | Santa Barbara, CA 93101 | Phone: (805) 569-3334 Fax: (805) 569-9815 2542 Vineyard Avenue | Oxnard, CA 93036 | Phone: (805) 485-1241 3615 Telegraph Rd | Ventura, CA | Phone: (805) 339-0000