Please take time to fill out our new customer form. This helps us get to know you and speeds up future orders. If you have any questions, please don’t hesitate to contact us.

    Customer Type


    Feature FilmTV ProductionCommercial Prod


    StageRental HouseStudioSchool


    GripGaffer/ElectricStudent


    Other

    Primary Address

    Use As Ship To?
    Yes

    Billing Address

    Same As Primary

    Tax Status

    TaxableNon-Taxable

    Contacts

    Credit Card Authorization


    AmexMaster CardVisa


    Same As Primary

    I authorize Los Angeles Rag House Inc, to charge the above credit card for payment of rental or purchase fees.

    Please upload a copy of your Resale Certificate here: