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Affordable Moonwalk Order Form
Personal Information
Before filling out this order form, check the availability of the equipment you are interested in renting by calling 770-787-1869 or
clicking here
.
To return to our website, please click here:
www.AffordableMoonwalk.com
We do not deliver and set up for our inflatables. Rentals are for warehouse pick up only.
We accept Cash, Credit, Debit, or Paypal for rentals, no checks.
Pickup -
Friday 10am - 5pm
Drop off
-
Monday 8am - 3pm
First Name:
*
Last Name:
*
Name of Business or Organization: (Only needed if you would like the invoice in a business name)
Personal Address:
*
City:
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code:
*
Address of Party:
*
City:
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code:
*
Primary Phone:
*
Secondary Phone:
Email Address:
*
🛈
What date is your event?-
*
🛈
+
Have you rented from Affordable Moonwalk before?
*
Yes
No