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*Required fields
First
Last
*Name
*Email
*Phone Cell phone:
Work phone:
Street
City
Zip
*Address of your
event
*Date of your
event
Begin time am pm
End time am pm
*What is the
earliest time of day that we could deliver and set up? am pm
*Fun things
that you would like to rent! (check all that apply)
*What type of
surface would you like the inflatable to be set up on? Grass (preferred) Concrete
>> We will not set up an inflatable on dirt, rocks, or sand
*Is there a power
outlet within 100 feet? Yes No
*How did you hear
about us?
(check all that apply)
Internet Search >>
search words used or link from:
Yellow
Pages
Online Yellow Pages (RealPages.com)
Ad/Flyer/Coupon >>
Friend/Family/Referral >>
Other >>
Comments/Questions:
Thank you!
Bounce Around Jax would like to thank you for your interest and we look
forward
to delivering fun to your party
or event!
* Subject to availability.
Submitting your web order does not guarantee a reservation. Orders by web or phone are booked by
date/time received.
We will contact you within 24 hours to
confirm your order.
** Order with
confidence. Bounce Around Jax, Inc. does not sell or trade customer information.
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