Order Form

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1-661-406-8817

RESIDENTIAL ORDER FORM

Please complete the order form below to place your request. We use the information below to provide you with excellent service. Within 24 hours (weekdays), we will e-mail you a courtesy confirmation.

NOTE* If you do not receive a confirmation e-mail, please call 661.406.8817 to confirm your request.

Company Name:*............................................................

Event Name:*.................................................

     First Name:* ...................................................................
     Last Name:*......................................................................
     E-mail Address:*............................................................
     Home Phone Number:*................................................. Ext.

Alternate Phone Number ( Cell )*.............................
Please enter phone in digit form Area Code first, with no dashes or parenthesis.

    Address where event is being held:*.......................
    City:*....................................................................................
    State*..............................................................

    Zip Code:*..........................................................................
    Major Cross Streets:*...................................................
    Date of Party:*................................................
    Times:*............................................................
    Where will the party item be held?*.................
    What surface will the item be placed on?*..........
    Package Deals: ................................................
    Please select the items for your party date:*...... <----Select your item here.

Please select the Board Games for your party*....

Need a Safety Supervisor add here*...................

Please visit our Price List page for the most up to date information on the additional costs of accessories.

Please select any additional accessories for your party* Accessories Choice 1:

                                                                                     Accessories Choice 2:

                                                                                     Accessories Choice 3:

                                                                                     Accessories Choice 4:

Accessories Choice 5:

Please add any additional questions or information to the comment section.

Add additional Board Games to the comment section.

Comments or Questions:

Site Modified Thursday, November 06, 2008