Name *

First Name

Last Name

Phone *

(###)

###

####

Are you over the age of 18? *

Yes

No

Location *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of the event *

MM

DD

YYYY

Time of the event *

Hour

Minute

Second

AM PM

What timeframe will you be renting the inflatable nightclub? *

6 Hours - Daytime rental ONLY

12 Hours - Overnight

Pick your package *

Packages can be viewed on the "Packages" tab

Basic

Standard

Premium

ADDONS

Lounge Furniture (From $200US)

No, thank you