State
AK
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AR
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CO
CT
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DE
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KY
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MA
MD
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Referred By
Select... Bing
Direct Mailing
Friend
Google
Other
Past Customer
Phone Book
Print Ad
Radio
Yahoo
Surface
Select... *N/A (tables/chairs)
Asphalt (Road/Street)
Concrete or Pavers
Dead or Patchy Grass
Dirt or Sand
Grass
Indoor
Rock/Gravel
Turf/Artificial Grass
Tax Exempt? (Non-profit organizations only, must provide Form 5000 if exempt)
No
Yes
Water or Dry Use?
N/A (Tables/Chairs) Water Dry
Same Day Pickup Required? (Check for yes. Overnight is free, same day pickup is an extra charge)
Accidental Damage Waiver (optional)
- Check for yes, uncheck for no. Would you like to purchase the RESIDENTIAL Equipment Damage Waiver protection? For 10% of your rental fee, you can Get Your Jump On without the added worry of accidental damage. We will waive any unintentional damage that happens to our equipment during your rental, excluding intentional damage or theft. Unintentional damage EXCLUDES the following: silly string, gum, paint, face paint, markers or pen, cuts, slices, punctures by sharp objects such as from animals, shoes or sharps and any damage caused by fireworks, firepits, or cigarettes. As a frame of reference on cost, repairs can average anywhere between $100-$500 for items covered by unintentional damage. *MOVING THE UNIT VOIDS THE DAMAGE WAIVER*