Space Walk Repair Request Form
located at 450 31st. Street Kenner, LA 70065
Please fill out this form if you would like us to repair your inflatable!
Full Name:
*
First Name
Last Name
Company Name:
Address:
*
Street Address
Street Address Line 2
City
Please Select
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West Virginia
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State
Zip Code
Email Address:
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Have we completed repairs for you before?
Yes
No
Unsure
How many Inflatables will you be dropping off to us for repair?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable: (please be specific as possible)
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
Name of Inflatable:
*
Please describe what you want repaired on your inflatable:
*
PLEASE NOTE: Any area that needs to be repaired, please list here. If it is not listed, we are not responsible for repairing that area.
I acknowledge that if my inflatable is not DRY and CLEAN, it will be rejected and a $100 re-roll fee will be administered.
*
YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Once the repair is completed, customer has up to 30 business days to pay AND pick-up the repair. After 30 business days, customer will be charged $25.00 per day in storage fees until picked-up. (effective 1-1-23)
*
I acknowledge and agree
Would you like your blower neck straps replaced while your inflatable is being repaired?
Please select from one of the following options:
*
No, My blower neck straps are fine
Yes, please replace my blower neck straps!
If yes, What color vinyl and strapping you would like from the above options?
*example: Red vinyl with black strapping* Blower neck straps are no additional charge.
Would you like us to replace your unit straps when we finish?
(you will keep your original straps as well)
please select from one of the following options:
*
No, I like my unit straps
Yes, I would like new 1" alligator straps ($15 pair)
Yes, I would like new 2" double ring straps($20 pair)
Back
Next
If you are out of state and would like to ship your inflatable to us for repair, we could help set up shipping and receiving!
*
Yes, I would like help sending my unit(s) to be repiared
No, I will be dropping it off in person
If you are dropping off in person, please select an accurate drop-off time:
*
After the repair(s) are completed, would you like us to email you the invoice?
*
Yes, I would like to pay via email invoice
No, I rather pay at pick-up
Thank you for your business!
Once submitted, our repair team will be notified. For any questions, please call 800-622-6026
Submit
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