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?
Choose One
Bing
Customer Referral
Email Blast
Google
Manufacturer
Other
Postcard
Social Media
Trade Show
Yahoo
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:
Individual
Partnership
Corporation
Sole Proprietorship
LLC
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:
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
Check this box if location address is same as mailing address:
Location address (where your units are stored):
City:
State:
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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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