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Ceived by: Surface: End: Between 5 pm-8 pm* Item Rented: Level Grass Area Only*** Power Source: Total Rental Amount: Bounce House Delivery Charge: Notes: Drying, Cleaning, Damage, Ect. Deposit: Picnic Table Factory Rep: Date: $50.00 ** Total Due: If the Bounce House gets wet for any reason your DEPOSIT will be FORFEITED! NOTE: *Pickup time is approximate. Driver may arrive as early as the “end” of the “Rental Period” or as late as two hours after “End” of “Rental Perio.

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