Helpful Tip: You will create a password at the end of this page that will allow you to come back at any time to fill out your application!

Party Equipment Rental Online Application

Section 1: POLICY RECOMMENDATIONS

(Please check any you are interested in)

General Liability
Accident Medical
Earthquake
Inland Marine
Worker's Compensation
Commercial Auto
EPLI
Flood
Hired & Non-Owned Auto
Umbrella
Abuse/Molestation
Cyber Liability

Section 1: General Information

How did you hear about us?

Do you use any online reservation services such as ERS or Inflatable Office? (You may be eligible for a discount) Yes No

2. Corporate Name:

3. Effective Date:

4. Business Name:

5. Entity Type: Examples: Individual: Jane Doe DBA Jane's Bouncers, Partnership: Jane Doe & John Smith, Corporation: C Corp or S Corp, LLC: Jane's Bouncers LLC

6. First Name Last Name

7. Date of Birth:

8. Phone Number:

9. Fax:

10. Website:

11. Email:

12. Mailing Address:

City:

State:

Zip code:

Check this box if location address is same as mailing address:

Location address (where your units are stored):

City:

State:

Zip code:

13. Year Business Started (Month/Year):

14. FEIN/SS#:

15. Years of Management Experience? (does not have to be with inflatables)

16. Type of Management Experience:

Section 2: Description of Operations

Type of Operation Your employees present at event
with operators Not operated by your employees
without operators Some events are operated by your staff & some events are not
both

With Operators - Projected Annual Gross Sales: $

Without Operators - Projected Annual Gross Sales: $

1. Describe your operations- Check all that apply:
Events where you charge each participant Backyard Birthday Parties Parks Corporate Events Street Fairs Carnivals Entertainment Services Other:

For Street Fairs, Carnivals, Events where you charge each participant, we will need a copy of your waiver. (All documents will be uploaded at the end of the application).

Do you or your company own/operate any Street Fairs, Carnivals or Midways?
Yes No

Create Password (this will allow you to access you application at a later time) :

Please attach the signage or waiver for your Corporate Events

Please attach the signage or waiver for Street Fair Events

Please attach the signage or waiver for your Carnival Events

Please attach the signage or waiver for your Events where

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