Reservation & Order Information

Full Name:

Phone:

Event Phone (if different):

Email Address:

Delivery Location:

Street Address:  City:
(Okaloosa County residents only)

Nearest Cross Streets:

Number of Guests Projected:

(1 machine per 80 guests)

Number of Machines Needed:

Flavor (1 flavor per machine):

----Please Choose Flavor---- Margarita Strawberry Margarita Strawberry Daiquiri Hurricane Cherry Limeade Peach Bellini Pina Colada Lemonade Blue Raspberry

Event Date:

Start Time:

How many stairs lead to where the machine will be located?
(The machines weigh 175 lbs)

(insert "0" or "none" if no stairs)

How long do you need to rent our frozen drink machine(s)?

What is the general age range of those who will be in attendance at your event?

Please describe the type or theme of your party.