Reservation Request Form



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Please note that completing this form does not warrant or guarantee your reservation.

Please make your reservation request online by filling out the form below or contact us by phone. We will contact you within 24 hours by email or phone to confirm your reservation request. Please be sure to include your email and phone number.

Note: Mandatory fields in the form below are marked with *

Contact Information - Please tell us how we may contact you

First Name:	*	Last Name:	*
Company/Organization:	*
Phone Number:	* 916-XXX-XXXX
Mobile Number:	* Additional Number Required For Day of Event.
Email Address:	*
Note: Rebecca's Jolly Jumps respects your privacy and will not pass on your personal details to any other organizations.

Event Information - Please tell us about your planned event

Event Type:		*
Event Location:		*
Event Date:		*
Event Start Time:		*
Event End Time:		*
Event Address:		*
Event City:		* Zip Code: *
Special Requests / Comments:
Note:	A Delivery Fee May Apply For Certain Cities.

Rental Selection - Please make your selections from the items listed below:

Bounce Houses:



Water Slides/Dunk Tanks:

Concession Equipment:				Hold down the Ctrl key to select more than one.
Entertainers:			Hold down the Ctrl key to select more than one.
Characters:				Hold down the Ctrl key to select more than one.
6'ft Round Tables:		QTY:
6'ft Rectangular:		QTY:
Chairs:		QTY:
20 x 20 Tents:		QTY:
How did you hear about us?:		*

	*Payment Type:	Cash Upon Delivery (No other forms of payment will be accepted on event day) NO EXCEPTION! Check (Check needs to be received 10 days prior to event. Checks will not be accepted on event day). View mailing address Credit Card via A Request For Payment will be sent to the above email. Payment must be received prior to event. Credit Cards will not be accepted on event day.)
If you need assistance we are here to help. Send us a Message Now (916) 761-8226 or (209) 663-7557

$50.00 CANCELLATION FEE ON ALL ORDER CANCELED WITH 7 DAYS OF EVENT IMPORTANT: Sacramento City Parks You Must Obtain a Park Use Permit Before Renting Any Equipment.

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: 9/2/08