Required Information                Event's Date:
First Name:
Last Name:
Company:
Email:
Delivery Street Address:
Preferred Delivery Time: (Between 7-12pm)
Let us know if the Jumper Unit will be placed on the following:
Cement
Sand
Grass
Front Yard
Back Yard
Any stairs to get to the jumper unit location, if so how many?
Please let us know of any notes tips you would like the driver to know in regards to the delivery or set up.
Is your jumper unit being delivered to a park?
If so Name of Park
Park's Address
Park's Permit No.
Cell Phone No.
Home Phone No.
Other Phone No.
Jumper Selection
Wet
If you selected the 2:1 Jumper/Slide let us know if its going to be used wet or dry?
Dry
Piñata of choice?
Package Selection No.:
Cotton Candy
Popcorn Machine
Snow Cone Machine
Would you like overnight rental (this means your items will be picked up the following day
between 10-2pm. (Add additional $35.00 to order)
Yes
No
Credit Card Information Required
Please note credit card will no be charged.  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.
Credit Card No.
Credit Card Expiration No.
Have you booked with us before, if so when did you last book with us?
Please let us know if you have any questions, comments, or feedback
Thank You
Book Now!

Please submit your information to book your rental.  An email confirmation
will be sent to you to confirm your rental with in 30-45 minutes. Thank You
E & X Party Rentals
We
Can Bring the Party to You!
(323) 439-2222 or (626) 230-0962