Business Name
Address	City
State	Zip
Telephone	Fax
Name	Title
Are yor currently using a Uniform Service? Yes No
If yes what services are you using?
If you are not using a Uniform Service, what type of services would you be interested in?

Domestic Uniform Rental, Inc.

Corporate Offices
30555 Northwestern Hwy. Suite 300
Farmington Hills, Michigan 48334
P. 248.737.2000
F. 248.737.5386