EXTREME ACTION AMUSEMENTS

P.O. Box 496

Lawrenceburg , KY   40342          

1-888-818-2373

RENTAL  LEASING  FORM

Please fill out form with all necessary information and fax back to us at 661-999-7283 

 TODAY’S DATE___________________________

 BUSINESS NAME ______________________________________  Business Type__________________

 Contact Name ____________________________________________TAX Exempt __________________

Street Address ________________________________________________________________________

City ____________________________________State________  Zip ___________

Business Phone ______________________Home____________________

Cell Phone __________________________ Fax _____________________Email ___________________

 Name of  Event___:____________________________________________________________________

 Event Date ______________/ 2005 ______

 Event Start Time:__________________________________Event End Time______________________________________

 

 

Business Address____________________________________:________________________________________________________

 

 

Event  Street Location:________________________________________________________________________________________

DELIVERY OR PICKUP RENTAL:_______________________# OF STAFF_______________________________

 RENTED ITEMS                                                                                   COST OF ITEMS

 1)___________________________________________________________________________________

2)___________________________________________________________________________________

3)___________________________________________________________________________________

4)____________________________________________________________________________________

5)____________________________________________________________________________________

                                                                           TOTAL COST___________________________________

                                                                           DEPOSIT AMOUNT_______________________________

                                                                           BALANCE DUE__________________________________

 GENERAL INFO NEEDED: Grass or Concrete                                                                      

 WILL BOUNCE BE ON OWN YOUR ELECTRIC or Our Generator?______________________

 INDOOR OR OUTDOOR EVENT?                                                    DATE TO RETURN______________

                                                        

                                                                          

This contract is made and entered into this________day of _________ 200__ by and between the undersigned Responsible Party , and Extreme Action Amusements, LLC, a Kentucky Corporation, and is mutually agreed that the contract shall be subject to the information on the front of contract. 

PARTIES:  The Responsible Party hereby engages and Extreme Action Amusements, hereby agrees to furnish the items herein described upon the terms and conditions set forth herein.  

DEPOSIT:  A deposit of 50%  $________, shall be delivered to and in the name of Extreme Action Amusements, upon signing of this contract.  The items mentioned in this contract are not reserved for the Responsible Party  until this deposit is received.  

BALANCE:  The remaining balance of  $_______ is due on or before time of pickup.  

SPECIAL PROVISIONS:  Extreme Action Amusements, reserves the right not to perform outdoor  engagements when in Extreme Action Amusements judgement, weather conditions would be detrimental to Extreme Action Amusements equipment.  A suitable indoor location will be reserved as an alternative site in the event of poor weather conditions.  Extreme Action Amusements , reserves the right not to refund any deposits paid,  in the event of canceling a rental.  

Responsible Party agrees that full compensation is due if no alternative site is reserved, as this is the sole responsibility of  the Responsible party.  

Responsible Party agrees to be responsible for any damage to Extreme Action Amusements equipment, if damage is caused by Responsible Party or those using, operating or renting the equipment during the event.  

The Responsible Party  expressly assumes the responsibility of informing all person(s) who use, operate or rent the above-specified  rental equipment that, they do so at their own risk and that, if any injury occurs to the person(s) using, operating  or renting the equipment, Extreme Action Amusements, its employees, officers, directors, shareholders, agents, successors and assigns shall not be held liable for any such injuries and/or resulting damages and , further, shall indemnify Extreme Action Amusements in the event they are held liable for any injuries and /or resulting damage.  

This contract contains the entire agreement between the parties and shall not be enlarged or modified except in writing and signed by all appropriated parties.

Please note that in  the event of an emergency or problems with the equipment, it is up to the Responsible Party to contact Extreme Action Amusements at (888) 818-2373 or  (502)  680-0870 immediately in order to expedite the problem  If you fail to contact us, Extreme Action Amusements is not responsible for any refunds.  

EVENT DATE:________________________      EVENT CONTACT:____________________________

EQUIPMENT RENTED:_________________________________________________________________

 _________________________                                              ____________________________

  Responsible Party                                                                   Extreme Action Amusements