Anita needs a complete form to ensure that your party is a success!

  Name (First and Last): 

  Street Address: 

  City:         Zip Code: 

  Home Phone #:                        

  Cell Phone #:                        

  E-mail Address: 

  How did you hear about Anita Margarita? Other Google Yahoo Other search engine Repeat customer Kids Stuff Directory Mail-Out Referred by a friend Referred by another rental company Yellow Pages Billboard Newspaper Ad

  Margarita Machine:   No Margarita Machine This Time! Anita Party! (1 bowl)- $109 Anita Party! (2 Bowl)- $109 Anita Weekend Party- $165

  Date of Party:

  Type of Event:  Other / Not Selected Birthday Company Event Family Reunion Church Event School Function Graduation Block Party

  Desired Set Up Time: 

  Desired End Time: 

  Event Location:  Other / Not Selected Home Park Church School Business

  Number of Children's Chairs needed ($1/each): 

  Number of Children's Tables needed ($6/each):  (Each table seats 4-6 children) 

  Number of Adult Chairs needed ($1.25/each): 

  Number of Adult Tables needed ($9/each):  (Each adult table seats 6-8 adults)

  Would you like to add a Moonwalk? No thanks, Not this time! Anitas Choice- $89/$105 3-in-1- $195/$245 Extra Long 3-in-1- $245/$295 35 Foot Giant 3-in-1- $395/$495 Batman Bouncer- $125/$150 Batman Bouncer with Basketball Hoop- $150/$175 Batman 4-in-1 Combo- $245/$345 Batman 45 Foot 4-in-1 Obstacle Course- $450/$650 Big Tex- $125/$150 Camouflage Monster Truck- $125/$150 Carousel- $150/$175 Castle 1- $99/$125 Castle 3- $99/$125 Castle 5- $99/$125 Castle 6- $99/$125 Castle 7- $99/$125 Red Dog- $99/$125 Dinosaur- $99/$125 Dora the Explorer Bouncer- $125/$150 Dora the Explorer Bouncer with Basketball Hoop- $150/$175 Dora the Explorer 4-in-1 Combo- $245/$345 Dora the Explorer 45 Foot 4-in-1 Obstacle Course- $450/$650 Dragon- $99/$125 Finding Nemo Bouncer- $125/$150 Finding Nemo Bouncer with Basketball Hoop- $150/$175 Finding Nemo 4-in-1 Combo- $245/$345 Finding Nemo 45 Foot 4-in-1 Obstacle Course- $450/$650 Fun House 2- $99/$125 Fun House 3- $99/$125 Fun House 4- $99/$125 Happy Birthday! Bouncer- $125/$150 Jurassic Fun- $125/$150 Lilo and Stitch Bouncer- $125/$150 Lilo and Stitch Bouncer with Basketball Hoop- $150/$175 Lilo and Stitch 4-in-1 Combo- $245/$345 Lilo and Stitch 45 Foot 4-in-1 Obstacle Course- $450/$650 Madagascar Bouncer- $125/$150 Madagascar Bouncer with Basketball Hoop- $150/$175 Madagascar 4-in-1 Combo- $245/$345 Madagascar 45 Foot 4-in-1 Obstacle Course- $450/$650 Monster Truck- $125/$150 Noahs Ark Bouncer- $125/$150 Pink and Purple Castle- $109/$129 Power Rangers Bouncer- $125/$150 Power Rangers Bouncer with Basketball Hoop- $150/$175 Power Rangers 4-in-1 Combo- $245/$345 Power Rangers 45 Foot 4-in-1 Obstacle Course- $450/$650 Disney Princess Bouncer- $125/$150 Disney Princess Bouncer with Basketball Hoop- $150/$175 Disney Princess 4-in-1 Combo- $245/$345 Disney Princess 45' 4-in-1 Obstacle Course- $450/$650 Princess Castle 1- $109/$129 Princess Castle 2- $109/$129 Scooby Doo Bouncer- $125/$150 Scooby Doo Bouncer with Basketball Hoop- $150/$175 Scooby Doo 4-in-1 Combo- $245/$345 Scooby Doo 45 Foot 4-in-1 Obstacle Course- $450/$650 Sponge Bob Bouncer- $125/$150 Sponge Bob Bouncer with Basketball Hoop- $150/$175 Sponge Bob 4-in-1 Combo- $245/$345 Sponge Bob 45 Foot 4-in-1 Obstacle Course- $450/$650 Spiderman Club- $150/$175 Strawberry Shortcake Bouncer- $125/$150 Strawberry Shortcake Bouncer with Basketball Hoop- $150/$175 Strawberry Shortcake 4-in-1 Combo- $245/$345 Strawberry Shortcake 45 Foot 4-in-1 Obstacle Course- $450/$650 Superman Bouncer- $125/$150 Superman Bouncer with Basketball Hoop- $150/$175 Superman 4-in-1 Combo- $245/$345 Superman 45 Foot 4-in-1 Obstacle Course- $450/$650 Winnie the Pooh Bouncer- $125/$150 Winnie the Pooh Bouncer with Basketball Hoop- $150/$175 Winnie the Pooh 4-in-1 Combo- $245/$345 Winnie the Pooh 45 Foot 4-in-1 Obstacle Course- $450/$650
 
  Would you like to add a Waterslide? No thanks, Not this time! 14 Foot Patriotic Waterslide- $245/295 14 Foot Tropical Waterslide with Palm Trees- $245/295 14 Foot Waterslide with Pool- $245/295 15 Foot Wet n Wild- $245/295 Slip n Slide 1- $225/$275 Slip n Slide 2- $195/$245

  Would you like to add an Obstacle Course? No thanks, Not this time! 45 Foot 4-in-1 Obstacle Course- $450/$650 65 Foot Obstacle Course and Slide- $650/$850 Batman 45 Foot 4-in-1 Obstacle Course- $450/$650 Dora the Explorer 45 Foot 4-in-1 Obstacle Course- $450/$650 Finding Nemo 45 Foot 4-in-1 Obstacle Course- $450/$650 Hop Scotch Obstacle Course- $175/$225 Lilo and Stitch 45 Foot 4-in-1 Obstacle Course- $450/$650 Madagascar 45 Foot 4-in-1 Obstacle Course- $450/$650 Power Rangers 45 Foot 4-in-1 Obstacle Course- $450/$650 Princess 45 Foot 4-in-1 Obstacle Course- $450/$650 Scooby Doo 45 Foot 4-in-1 Obstacle Course- $450/$650 Sponge Bob 45 Foot 4-in-1 Obstacle Course- $450/$650 Strawberry Shortcake 45 Foot 4-in-1 Obstacle Course- $450/$650 Superman 45 Foot 4-in-1 Obstacle Course- $450/$650 Winnie the Pooh 45 Foot 4-in-1 Obstacle Course- $450/$650

  Would you like to add a Snow Cone Machine for $60? (Includes 50 servings)

  Would you like to add a Cotton Candy Machine for $60? (Includes 50 servings)

  Would you like to add a Popcorn Machine for $60? (Includes 50 servings)

  Do you need a Generator?:
  (This is only needed for places where additional electric power is needed.)

 Any additional information or comments?