Clownin' Around » Plan Your Next Event

How did you hear about Clownin' Around?

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Referred by friend
Repeat Customer
Employee gave me business card
Drove by your office
Saw your equipment at home party
Saw your equipment at school event
Saw your equipment at church event
Saw your equipment at corporate event
Newspaper
Radio
Magazine
Billboard
Business vehicle signs
AT&T Yellow Pages
Other

Date and time frame for your upcoming special event:

Please selest the date of your event

Start Time

:
HH

MM

End Time

:
HH

MM

Event Type

Please Specify

What age range do you need your amusement rental items to be appropriate for?

Expected Attendance

Setup Site

Please Specify

Setup Surface

Please Specify

Access to setup location for equipment

You may drive to it with a standard size pick up truck
You will need to manually move equipment from truck or trailer less than 100 ft. to set up location
Must move equipment up or down stairs (freight elevator or ramp available)
Must move equipment up or down stairs (no freight elevator or ramp available)
You will need to manually move equipment from truck to trailer more than 100 ft. to set up location (Please specify approximate distance and whether route is relatively flat)

Please use this section to explain your response from above, if necessary.

Will we have access to 20amp electrical circuits within 100 ft. of where you are envisioning your rental attraction being placed?

Yes
No

Will we have access to a standard outdoor water spicket within 100 ft. of where you envision your rental attraction being placed?

Yes
No

Organization Name (If applicable)

Your Full Name

Prefix

First

Last

Suffix

Name of Spouse or Significant Other (If any)

Prefix

First

Last

Suffix

Complete Mailing Address

Street Address

Address Line 2

City

State

ZIP Code

Home Telephone Number (Please be sure to include area code)

Work Telephone Number

Fax Number

Cell Phone Number

Other Contact Number

Please specify name and relationship of other contact

Email Address (Primary)

Email Address (Secondary)

Will you be using any certificates, coupons, or special pricing offers when you place your order?

Yes (Please specify)
No

Please use this section to explain your response from above, if necessary.

Party location complete mailing address

Street Address

Address Line 2

City

State

ZIP Code

Phone number for this homeowner or point of contact

Homeowner or point of contact at this location

First

Last

Your intended method of payment

Comments:

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