Space Walk Repair Request Form

Space Walk Repair Request Form

located at 450 31st. Street Kenner, LA 70065
Full Name:*

First NameLast Name
Please fill out this form if you would like us to repair your inflatable!
Company Name:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address:*
example@example.com
Phone Number*
Please enter a valid phone number.
Have we completed repairs for you before?*

Yes, Space Walk has completed repairs for me beforeNo, this is my first repair with Space WalkI am not sure
How many Inflatables will you be dropping off to us for repair?*

I understand that the failure to remove any and all adhesive tapes or glue residue in or around the affected areas of the units listed below will result in the work order being rejected and a $100 Inspection and Re-roll fee.

I acknowledge and agree
Name of Inflatable:*
Please describe what you want repaired on your inflatable: (please be as 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.
Upload pictures of your damaged areas:

Cancelof
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
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

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, REPAIR WILL NOT BE DONE, and a $100 re-roll fee will be administered. (PRO-TIP: Make sure your hose has been drained prior to rolling up)*

YES, My Inflatable is Dry and Clean
upload pictures of your damaged areas:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

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:

Cancelof
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

If you are out of state and would like to ship your inflatable to us, we could help set up shipping and receiving!*

Yes, I would like help sending my unit(s) to berepaired!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 invoiceNo, 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
Should be Empty:

Space Walk Repair Request Form

Please fill out this form if you would like us to repair your inflatable!

Thank you for your business!