Event Reservation and Invoice Request

1
What is the name of the Company, Church, Non-Profit (etc)
Name of Company
2
Representative Contact Name* This field is required.Client information:
First Name
Last Name
3
Event Date for your Rental with us* This field is required.Please select the date of your event that you need us to attend
Date
Year
Month
Day
4
How many Hours do you need us to attend ?* This field is required.
1 Hour
2 Hours
3 Hours
4 Hours
5 Hours
I need more hours
5
Start Time* This field is required.ONLY provide the approx start time. Do not add-on "when you think" we need to set up in advance. We will calculate travel time and advance set up on our end. If you require/request that we arrive extra early for set up, that is an additional fee. Please notify us in advance so we can add it onto your invoice.
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
6
End Time* This field is required.What time do you need us to END your rental/time with us? ... Please do not include what time you think it will take us to clean up. We calculate that on our end. thank you.
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
7
Email* This field is required.
example@example.com
8
Email for Another representative or accounting department for invoice If you have a 2nd email address, It is important to share so we are able to reach you
example@example.com
9
Phone Number* This field is required.Your cell number and texting (so we can reach you)
Area Code
Phone Number
10
Event Location Address* This field is required. Where will the rentals be delivered and set up and attend at?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
Please tell us about your Event:Any details you think we should know about? (parking, set up location, etc)
Huge
Large
Normal
Small
Ok
Ok
12
Select the rentals you want to hire
Petting Zoo
Unicorn - Special Appearance
Mini Donkey - Special Appearance (can be fiesta themed - let us know)
Llama - Special Appearance (can be fiesta themed - let us know)
2 riding ponies
3 Riding Ponies
4 Riding Ponies
Golden Knight Themed Pony - Special Appearance animal
Alpaca - Special Appearance (can be fiesta themed - let us know)
Nativity Animals
Easter Animals
13
Add-On to your Petting Zoo Rental (aka Barnyard Experience)Only if you selected the petting zoo to attend as an ADD-ON with your main rental
NO ZOO SELECTED
Add-on Llama ($50 / per hour) - Petting Only in Zoo Area
Add-on Alpaca ($50 / per hour)- Petting Only in Zoo Area
Add-On more Bunnies to attend ($50 / Per Hour) - Petting Only in Zoo area.
Add-On Mini Donkey ($50 / Per Hour) - Petting Only in Zoo area
Add-On Mini Horse ($50 / Per Hour) - Petting only in the zoo area.
14
Signature to accept booking & terms and conditions. I agree that the electronic digitized signatures I apply on the following document are representations of my signature and are legally valid and binding as if I had signed the document with ink on paper in accordance with the Uniform Electronic Transactions Act (UETA) and the Electronic Signatures in Global and National Commerce Act (E-SIGN) of 2000.
Clear
15
Please DONATE to The Barnyard Foundation 501(c)3 Charitable Org. in Las Vegas, Nevada :Please donate to RESCUED, RETIRED, AND RE-HOMED FARM ANIMALS & ANIMAL THERAPY for those in need in our community. Your card will be billed/charged separately once this reservation is received based on the selection you made. Thank you in advance for your support for humans and animals in need.
I want to Donate $5
I want to Donate $10
I want to Donate $20
I want to Donate $50
I want to Donate $100
Should be Empty: