Bounce Ohio
(937) 231-8215
Name
Organization (optional)
Event Address
*please contact office if a public park
City
State
Zip
AK
AL
AR
AZ
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CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
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MD
ME
MI
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MO
MS
MT
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ND
NE
NH
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NM
NV
NY
OH
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OR
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Email
Mobile Phone
Text notifications okay?
Other Phones
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Office Phone
Fax Number
Referred By
Select...
Bing
Direct Mailing
Friend
Google
Other
Past Customer
Print Ad
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Event Name
We will have your equipment set up at least 30
minutes prior to start time!
Start
End
Surface
Select...
Grass - Allow Stakes
Grass - No Stakes
Gravel
Indoor
Pavement
Delivery Type
Drop off/set up
Tax Exempt?
No
Yes
Would you like to add a tip for delivery and set up?
Yes, please add a $10 tip
Yes, please add a $20 tip
Yes, please add a $30 tip
Would you like to purchase our Damage Waiver? For 7% of your total rental costs we will waive any damage that happens to our equipment during your possession of said equipment, excluding intentional damage or theft.
No Thank you
Add Damage Waiver
Contact Address
Same as Event Address
Address
City
State
Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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