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 ($320)
15' Green Gator ($320)
15' Fiesta ($320)
13' Ruby Red ($300)
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
Comments
Preview PDF
Submit
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