Gotta Have Extras
Client Mailing Address
* Name:

* Address:

* City:

* State

* Zip:

* Daytime Phone:
(Format: 123-123-1234)

* Email:

Event Address
* Person or Company Name:

* Address:

* City:

* State:

* Zip:

* Event Phone:
(Format: 123-123-1234)

Pager or Cell:
* Party Date:

Is it a "Surprise Party?" Yes No
How did you hear about us?
* What time does the event start?
We will deliver at least one hour prior

* What time does the event end?

Is next day pick up okay?
Equipment must be in a secure location
How many guests are expected?
* How many days rental?

* Which items would you like to rent?.

Are there more than four (4) stairs? Yes No
Can we provide you with any of our other rental items for your event? Misting Fans
Outdoor Heaters
Frozen Drink Machines
No, I won't be needing any other items from Rollin' Rita's
Credit Card Number
:   Expiration Date



If you are looking for something we don't offer, please let us know & we'll be more than happy to give you referrals of only the best in the business.

Indicate additional flavors, special instructions, etc. If you have questions or requests, please fill out form below as well.

Upon receipt of your order, we will call you to confirm the details.