Order Form

" Gift Certificates Available " Call Troy at 661.406.8817

.
[Our Price's] [Order Form] [Jumpers] [Sports] [Combos] [Slides & Water Slides] [Interactive] [Amusment Rides] [Carnival Games] [Accessories] [Value Packages] [Arch Advertising] [For Sale] [Festivals] [Thank You]

Questions?
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 48 hours (weekdays), we will e-mail you a courtesy confirmation.

NOTE* If you do not receive a confirmation e-mail, your order has not been confirmed. Please call Troy at 661.406.8817 to confirm your request. Thank you!

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:*...................................................Please give us directions to your event:
    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 1st item here.

<----Select 2nd item here.

<----Select 3rd item here.

<----Select 4th item here.

<----Select 5th item here.

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

Safety Attendant *..............................................

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.

Add comments or questions below:

Site Modified Monday, January 18, 2010