Request for Quote

Your Name:
Address:
Phone number:
E-mail address:
Date of your event:
Nature of your event:
(Private party, school event, corporate event etc.)
City and state of event:
Attractions to Quote:

		YES	NO
	Bungee Run
	Cash Cube
	Climbing Wall
	Cow Milking Contest
	Euro Bungee
	Foam Party
	Giant Slides
	Inflatable Boxing
	Inflatable Twister
	Joust
	Karaoke Party
	Lazer Tag
	Log Rolling
	Mechanical Bull
	Nascar Simulator
	Obstacle Course
	Rodeo Roper
	Segway Rental
	Soke Em Shower
	Sponge Bob Bounce House
	Velcro Wall

other or special request:
How did you hear about New Heights?