Patio Heaters
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Let's Rent!
Name:
Last Name:
Date of Event:
Your email address:
Primary Phone Number:
Street Address of event:
City and Zip Code:
Do you need a party or
park package,
if so which one:
Name of park:
Which jumper do you need:
Do you need it overnight:
Credit Card Information Required
Credit card will no be charged unless you are having a park event, then payment is required
prior to event.  Otherwise, you will be required to pay your balance upon delivery.  However
your credit card information is required to place a reservation.  No fees charged if you decide
to cancel your reservation as long as it's not done the week of the event if so a 50% of your
balance will be automatically charged.  If you would like your payment to be done a certain day
please note that information on the comment area.  
Thank You
Credit Card Number:
Expiration Date:
CVC (last 3#'s in back)
Billing Zip Code
Comments &/or Questions