Jumpin' Bean Party Rentals Request Form
Name
Event Address
Type of Unit
13'x13' Multicolored Castle ($150)
13'x13' Pink Castle ($150)
14'x 25' Combo wet/dry Castle ($280)
15' Blue Crush Waterslide ($300)
15' Fiesta Waterslide ($300)
13' Ruby Red Waterslide ($280)
13' Purple Waterslide ($280)
12' Fireblast ($280)
Sno-Cone Machine ($75)
Event Date
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Requested Delivery Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Email
example@example.com
Type of Surface (We do not setup on dirt)
Concrete
Grass
Dirt
Gravel
Artifical Turf
Gated Community
Yes (Provide Code)
No
Setup Location
Front Yard
Back Yard (Gate/Access must be 36" or greater in width)
Other
Submit
Should be Empty:
