Name
Organization
Event 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
Email
Mobile Phone
Text notifications okay?
Other Phones
Home Phone
Office Phone
Fax Number
Referred By
Select...
Bing
Direct Mailing
Friend
Google
Other
Past Customer
Phone Book
Print Ad
Radio
Yahoo
Event Name
Date & Time
Select time...
7:00am - 7:00pm All time slots are estimates and Take Flight Inflatables will reach out to you before your event to coordinate times.
8:00am - 8:00pm All time slots are estimates and Take Flight Inflatables will reach out to you before your event to coordinate times.
9:00am - 9:00pm All time slots are estimates and Take Flight Inflatables will reach out to you before your event to coordinate times.
Surface
Select...
Grass - Allow Stakes
Grass - No Stakes
Indoor
Pavement
Delivery Type
Drop-Off
Tax Exempt?
No
Yes
Accidental Damage Waiver:
Would you like to purchase the RESIDENTIAL Equipment Damage Waiver protection 7% of your rental fee, you can Get Your Jump On without the added worry of accidental damage. We will waive any unintentional damage that happens to our equipment during your rental - See Contract for full details.
(Recommended)
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
Volunteers
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