Rental Quote Form

Michigan Moonwalk Rentals

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586-980-9059	Instant Quote Form

	Phone: (586) 980-9059			Accepting
	E-Mail: info@bounceabout.com

Office Hours: 7 day a week from 8:30am-6:00pm After hours please fill out the instant quote form

Please fill out the following information and a customer sales agent will contact you regarding your upcoming event. Please remember, you can always contact us by telephone or e-mail.

All fields marked with a * are required
NOTE: Due to the current high cost of fuel a fuel surcharge will be added to all orders.

First Name*
Last Name*
Company Name
Address*
City, State, Zip Code*
Home Phone # *
Work Phone #
Cell Phone #
Email Address*
Event Address
Event City, State, Zip Code
Event Type *
Event Date*
Event Time*
Set up on grass or pavement*
How did you hear about us*
Rental equipment needed*
Additional Comments

The information collected here is used solely to contact you regarding your equipment request.

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