Rentals Form

We are committed to providing you with top-notch service 100% of the time.

Customer Information
Package Selected
Flavor
Second Flavor
Name*
First Last
Email*
Phone*
Address
Street Address City State ZIP Code
Company
Party Information
Date of the Party
Date Format: MM slash DD slash YYYY
Time
: HH
MM
Is Electricity Available?
- Yes
- No
Are there stairs?
An adult capable of lifting and carrying at least 75 pounds must be available at the time of deliver and pickup. If there will be no one available to assist please check the box to add a second delivery man below.
Disclaimer*
- I have read the disclaimer.
- I require a second delivery man.
Number of Guests
Event / Hall Name
- Same as above Address?
Delivery Address*
Street Address City State ZIP Code
Machine Skirt
Second Machine Skirt
Additional 9oz. Cups
Additional Items
- Blenderfuls 4oz - $3
- Same night/after hours pickup - $50
- Second delivery man - $25 each delivery/pickup
- Cargo hauler - $15
Additional Information
How Did You Hear About Us?
Billing Information
*We do not charge your credit card at the time of your order. We invoice you after the event based on the number of mixes used. If you would rather skip the credit card information section, please click submit at the bottom of the form and then call Dan at 402.770.0665. Thank you!
Cardholder Name
Credit Card Billing Address
Street Address City State ZIP Code
Card Number
Expiration Date
CCV Code
Additional Information
If for some reason you wish to cancel, there is an $85 cancellation fee if notice is not given within 48 hours of your event. You will not be charged for any un-used mix returned after your event.
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Rentals Form

Customer Information

Party Information

Billing Information

Additional Information

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