Tumble n Jump Inflatables
Pirate Dual Lane 3 in 1 Combo With Pool Spongebob Bounce House Sno Kone Machine Slip And Slide Dual Lane With Pool Slip N Dip Pirate Dual Lane 3 in 1 Combo Adventure Balloons Bounce House 8 OZ Popcorn Machine Generator 4000 Watt Dunk Tank Dora The Explorer Bounce House Disney Princess Bounce House Crayon Inflatable Bounce House Dry Slide Combo Cotton Candy Machine Castle Bounce House Wet Rainbow Slide With Pool
Credit Card Authorization Form
 
PLEASE PRINT OUT AND COMPLETE AUTHORIZATION ANDRETURN TO US.
All information will remain confidential.
 
Cardholder Name:      ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­_________________________________________________________
 
Billing Address:           __________________________________________________________
 
Credit Card:                 _________Visa ________   Mastercard   _________Discover ________ AmEx
Credit Card Number:  ___________________________________________________________
Expiration Date:          ___________________________________________________________
Card identification Number (Last 3 digits located on the back of the credit card :) ___________
Amount to Charge: $________________________ To________________________ (USA)

I Authorize Tumble n Jump Inflatables, LLC to charge the amount listed above to my
Credit card provided herein. I agree that I will pay for Any Cleaning Fees or Damage that may occur during the rental. This Rental in accordance with the Issuing bank cardholder agreement.
Cardholder – Print name, Sign and Date Below:

Print Name:­­­­­­­­­­­­­­­­­­­­­­­ _________________________________________________________
Signed:   ____________________________________________________________
Dated:    ____________________________________________________________
Name:    ____________________________________________________________
 
Once signed Fax the completed form to: Fax: 401-429-6442
Tumble n Jump inflatables, LLC
780 Reservoir Ave Suite 140
Cranston RI 02910
Phone: 401-354-5867 

Copyright 2010, Tumble n Jump Inflatables(tm) 401-354-5867