Your Name
School/Organization
Address
City
State
Zip
Phone Number
Fax Number
Email Address
Event Date (MM/DD/YYYY)
Event Time
a.m. p.m. Event Location

Desired Rentals
Please check all that apply

Airbrush Tattoos
Bobble Heads
Casino Night (small)
Casino Night (large)
Chroma Crystals
Chroma Ornaments
Cosmic Golf
Five Minutes of Fame
Fun Photos
Gel Candles
Ice Rink
Inflatables (please specify in Special Instructions box below)
Key Chain Photos
Laser Tag
Lip Balm
Massage Chairs & Spinal Exercisers
Metal Marvels
Old Time Photos
Oxygen Bar
Personalized Rice Jewelry
Photo Booth
Relaxation Program
Sand Art
Sandy Candy
Sign Shop
Snow Globes
Spin Art Frisbees
Stuff-a-Bear
Wax Hands
"Your Slogan Here" Bumper Stickers
"Your Slogan Here" T-shirts

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