OT Jumpers Party Rentals Request Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Event Address
Event Date
-
Month
-
Day
Year
Date
Type of Unit
Please Select
16’x13’ Multicolored Castle ($100)
13’x12’ Multicolored Castle w/ 9’ Slide ($100)
11’ Rainbow Combo wet/dry Castle ($150)
12’ Tropical Water Slide ($200)
Type of Surface (We do not setup on dirt)
Please Select
Grass
Turf
Concrete
Gravel
Requested Delivery Time
Hour Minutes
AM
PM
AM/PM Option
Gated Community
Please Select
Yes (Provide Code)
No
Comments
Submit
Should be Empty: