Booking & Reservation Form
PARTY RENTALS, LLC
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Event Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Date
*
/
Month
/
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Special Requests & Instructions:
Agreement & Signature
By signing below, I acknowledge that I have read and agree to the terms and conditions of the rental agreement and liability waiver provided by Party Rentals, LLC. I understand that my reservation is not confirmed until payment is processed and I receive a confirmation via call, text and/or email.
Signature
*
Office Use Only:
Reservation Confirmed:
Yes
No
Notes:
My Products
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Dunk Tank
*Requires Access to Water
$
175.00
Electric Clay Pigeon Thrower
$
99.00
Super Slide
*Requires Access to Water
$
35.00
Super Slide (Add-On)
*Requires booking of Dunk Tank
$
25.00
Basket Pong
$
40.00
Basket Pong (Add-On)
*Requires booking of 'Dunk Tank'
$
25.00
Kanjam
$
35.00
Kanjam (Add-On)
*Requires booking of Dunk Tank
$
25.00
Jenga
$
35.00
Jenga (Add-on)
*Requires booking of Dunk Tank
$
25.00
Monster Speaker
$
45.00
Patio Heater
$
100.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Form
Submit Form
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