Helium Rental (Form)

Please note that all fields marked with a red star * are required to successfully submit this form.

Fill out the online form to order your helium delivery service.

1. Fill out the Helium Rental Form and submit.

Helium Rental (Form)

> Client & billing information

First name:

Last name:

Payer full name: (if different)

Business name:

Street address:

Apt, Floor, Unit

City:

State:

Zip code:

Phone number 1:

Email:

> Ship to / Drop-off / Pick-up / Return Information:

Ship to: (If different)

Phone number 2:

Choose one of the choices

I need the rental equipment to be dropped-off and picked-up from my address location. I will pick-up and return the rental equipment to the same location. I need to have my balloons to filled with helium at my location. i need to have my balloons to filled with helium at your location.

Drop-off / Pick-up location at:

Drop-off / Pick-up location name

Street address

Apt, Floor, Unit

City

State

Zip code

Length of rental

Select time format

Hours Days Weeks Months

Drop-off or Pickup time & date:

Earliest time

Latest time

Pickup or Return time & date:

Earliest time

Latest time

> List of rental items or services:

Rental item #1

Qty

Rental item #2

Qty

Rental item #3

Qty

Rental item #4

Qty

Rental item #5

Qty

> Details & special instructions:

Estimated Rental Price:

> Acknowledgment & signature :

By signing below, you confirm that you have read, understood, and agreed to all terms and conditions outlined in this agreement.

Yes, i accept and agree.

Signature:

Today's date and time:

2. Fill out the CC. payment form and submit.

Credit Card Payment (Form)

An additional 3.5% credit card surcharge will be added to your invoice subtotal.
To avoid this fee, please review our alternative payment options on this page.

Credit Card Holder's Name:

Card Number

Expiration Date

CVV Number

Billing Street Address (Needs to match CC address)

APT. or UNIT

City

State

Zip Code

Phone

Message (optional)

By completing this online payment form, you authorize Party Services Inc. and CelebrationEntertainment.com to use your payment information to settle any outstanding orders, services, or products you have requested, or that your business has requested, through this website. This authorization covers all unpaid invoices, balances due, and any future orders made in person or by phone.

Helium Rental (Form)

Please note that all fields marked with a red star * are required to successfully submit this form.

Helium Rental (Form)

Credit Card Payment (Form)

Party Rentals

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