First Name: Last Name:
Address:
Address:
City: State: ZIP:

Phone:

Home Work Cell

Email:



Party Choice:
1st Machine Party flavor:
2nd Machine Party flavor: (If you selected a party with two machines)

Party date:
Party start time:

Extra Flavor Packs:
Extra Party flavor #1:
Extra Party flavor #2:
Extra Party flavor #3:
Extra Party flavor #4:


Comments/Questions:

The following terms and conditions must be initialed by you. In the box to the right of each clause, please fill in your initials. To ensure conformity your initials will be checked against your first and last name when you submit this form.


A $10 deposit is required on all reservations. We accept cash, personal checks, and Paypal. Balance is due on day of event. Balance may be paid by personal check or cash.

If canceled by you for any reason, the deposit is nonrefundable.