RENTAL FORM
Name:
Company:
Address:
City:
State:
Zip:
E-Mail:
Phone #:
Work #:
Mobile #:
Deliver To
Address:
City:
State:
Zip:
Enter Desired Date of Event:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
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7
8
9
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15
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18
19
20
21
22
23
24
25
26
27
28
29
30
31
2009
2010
2011
Party Starts:
Event Type:
Choose your flavor
Margarita
Strawberry Daiquiri
Pina Colada
Peach Bellini
Undecided
Estimated Number of Guests:
Choose A Package
Basic Package - 1 machine
Big Party Pack - 2 machines
Custom Package - 3 or more machines
Undecided
Any special instructions?
After completing this form, Dallas Pary Man himself will call you for confirmation!
Reserve as early as possible to ensure availability!
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