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Submitted URL: https://rental.software/shortlink/d7XCYj
Effective URL: https://rental.software/quotes/contractme.php?name=Bounce+Party+Inflatables&qid=9541519&cid=7217567
Submission: On April 27 via manual from IN — Scanned from DE
Effective URL: https://rental.software/quotes/contractme.php?name=Bounce+Party+Inflatables&qid=9541519&cid=7217567
Submission: On April 27 via manual from IN — Scanned from DE
Form analysis
5 forms found in the DOMPOST
<form class="form-horizontal form-accordion io_form" id="signature_form" method="post">
<div id="signing2"><label class="radio"> <input name="signing-choice" checked="checked" type="radio"> Sign contract digitally </label>
<div class="collapse in" id="sign-online">
<div id="signature"><br>
<div style="padding:0 !important;margin:0 !important;width: 100% !important; height: 0 !important;margin-top:-1em !important;margin-bottom:1em !important;"></div><canvas class="jSignature" width="461"
style="margin: 0px; padding: 0px; border: none; height: 115px; width: 100%;" height="115"></canvas>
<div style="padding:0 !important;margin:0 !important;width: 100% !important; height: 0 !important;margin-top:-1.5em !important;margin-bottom:1.5em !important;"></div>
</div>
<div class="sign-text">Signature</div>
<div class="control-group" style="margin:0 0 10px 0;">
<div class="controls" style="text-align:center; margin:10px 0 0 0;"><input style="text-align:center;" value="" name="printed_name" placeholder="Print Your Name Here" required="required" type="text"></div>
</div> <label class="checkbox"> <input name="agree" required="required" type="checkbox"><span style="font-size:9pt;"> I agree to the terms and conditions as stated in this contract and am legally authorized to sign this contract. Furthermore, I
understand that my click-to-sign digital signature makes this contract legally binding.</span> </label> <input name="signature_data" type="hidden"> <button class="btn" onclick="jQuery('#signature').jSignature('clear');" type="button"><em
class="fas fa-trash"></em> Clear</button> <button class="btn btn-success" onclick="myApp.showPleaseWait();return sign_contract();" type="submit"><strong><em class="fas fa-pencil-alt"></em> Sign Now</strong></button>
</div>
<div class="collapse" id="print-n-sign">
<p>Please print, sign, and mail the contract (and check payments) to the following address:</p>
<address>Bounce Party Inflatables <br>801 spartan dr <br>missoula, MT 59801-8698</address> <button class="btn" onclick="javascript:window.print()" type="submit">Print</button>
</div>
</div>
</form>
Name: creditcard — POST
<form method="post" name="creditcard"><label for="cardname">Name on Card</label> <input id="cardname" name="cardname" placeholder="John A. Smith" type="text" value="Judy Powell"> <label for="cardnumber">Card Number</label> <input id="cardnumber"
name="cardnumber" placeholder="0123456789012345" type="text"> <label for="expiry_month">Expiration Date</label> <select class="input-medium" id="expiry_month" name="expiry_month">
<option value="01">Jan (01)</option>
<option value="02">Feb (02)</option>
<option value="03">Mar (03)</option>
<option value="04">Apr (04)</option>
<option value="05">May (05)</option>
<option value="06">June (06)</option>
<option value="07">July (07)</option>
<option value="08">Aug (08)</option>
<option value="09">Sep (09)</option>
<option value="10">Oct (10)</option>1 <option value="11">Nov (11)</option>
<option value="12">Dec (12)</option>
</select> <select class="input-small" name="expiry_year">
<option value="22">2022</option>
<option value="23">2023</option>
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
<option value="33">2033</option>
<option value="34">2034</option>
<option value="35">2035</option>
<option value="36">2036</option>
<option value="37">2037</option>
<option value="38">2038</option>
<option value="39">2039</option>
<option value="40">2040</option>
<option value="41">2041</option>
<option value="42">2042</option>
</select> <label for="cvvnum">CVV Number</label> <input id="cvvnum" name="cvvnum" placeholder="012" class="input-mini" type="password"> <label for="streetaddress">Street Address</label> <input id="streetaddress" name="streetaddress"
placeholder="123 Main St" type="text" value="1368 Douglas Dr"> <label for="city">City</label> <input id="city" name="city" placeholder="Cleveland" type="text" value="Missoula"> <label for="state">State/Province</label> <input id="state"
name="state" placeholder="OH" class="input-mini" type="text" value="MT"> <label for="zip">Zip Code</label> <input id="zip" name="zip" placeholder="44123" class="input-small" type="text" value="59808"> <br> <label class="checkbox"> <input
required="required" name="ccterms" type="checkbox" onclick="if(jQuery(this).prop('checked')==true){ jQuery('#cc_terms').modal('show');}"> <span data-backdrop="static" data-keyboard="false" data-target="#cc_terms" data-toggle="modal" href="#"
style="font-size:9pt;">I agree to the terms and conditions of the sale.</span> </label>
<div class="control-group hidden-print">
<div class="modal fade" id="cc_terms" tabindex="-1">
<div class="modal-dialog modal-lg">
<div class="modal-content">
<div class="modal-header"><button class="close" data-dismiss="modal" onclick="jQuery('[name=ccterms]').prop('checked', false);" type="button"><span>×</span></button>
<h4 class="modal-title" id="myModalLabel">Terms & Conditions</h4>
</div>
<div class="modal-body">I am an authorized user of this credit/debit card, and I authorize it to be immediately charged for the amount specified. <br> <br> <br> <button class="btn btn-medium btn-primary" data-dismiss="modal" name="cc_agree"
onclick="jQuery('[name=ccterms]').prop('checked', true);">Agree</button> <br> </div>
</div>
</div>
</div>
</div> <br> <button class="btn btn-success"><em class="fas fa-credit-card"></em> Pay Now</button> <input name="cc_amount" value="202.61" type="hidden">
</form>
Name: echeck — POST
<form method="post" name="echeck"><label for="cardname">Name on Account</label> <input id="cardname" name="cardname" placeholder="John A. Smith" type="text" value="Judy Powell"> <label for="cardnumber">Account Number</label> <input id="cardnumber"
name="cardnumber" placeholder="1234567890" type="text"> <label for="bank_aba">Routing/ABA Number</label> <input id="bank_aba" name="bank_aba" placeholder="012345678" type="text"> <label for="bank_name">Bank Name</label> <input id="bank_name"
name="bank_name" placeholder="ABC Bank" type="text"> <label for="bank_type">Account Type</label> <input id="bank_type" name="bank_type" placeholder="Checking / Saving" type="text"> <label for="streetaddress">Street Address</label> <input
id="streetaddress" name="streetaddress" placeholder="123 Main St" type="text" value="1368 Douglas Dr"> <label for="city">City</label> <input id="city" name="city" placeholder="Cleveland" type="text" value="Missoula"> <label
for="state">State/Province</label> <input id="state" name="state" placeholder="OH" class="input-mini" type="text" value="MT"> <label for="zip">Zip Code</label> <input id="zip" name="zip" placeholder="44123" class="input-small" type="text"
value="59808"> <br> <label class="checkbox"> <input required="required" name="echeckterms" type="checkbox" onclick="if(jQuery(this).prop('checked')==true){ jQuery('#echeck_terms').modal('show');}"> <span data-backdrop="static"
data-keyboard="false" data-target="#echeck_terms" data-toggle="modal" href="#" style="font-size:9pt;">I agree to the terms and conditions of the sale.</span> </label>
<div class="control-group hidden-print">
<div class="modal fade" id="echeck_terms" tabindex="-1">
<div class="modal-dialog modal-lg">
<div class="modal-content">
<div class="modal-header"><button class="close" data-dismiss="modal" onclick="jQuery('[name=echeckterms]').prop('checked', false);" type="button"><span>×</span></button>
<h4 class="modal-title" id="myModalLabel">Terms & Conditions</h4>
</div>
<div class="modal-body">I am an authorized user of this credit/debit card, and I authorize it to be immediately charged for the amount specified. <br> <br> <br> <button class="btn btn-medium btn-primary" data-dismiss="modal"
name="echeck_agree" onclick="jQuery('[name=echeckterms]').prop('checked', true);">Agree</button> <br> </div>
</div>
</div>
</div>
</div> <br> <button class="btn btn-success"><em class="fas fa-credit-card"></em> Pay Now</button> <input name="cc_amount" value="202.61" type="hidden">
</form>
POST https://www.paypal.com/cgi-bin/webscr
<form action="https://www.paypal.com/cgi-bin/webscr" method="post"><input name="cmd" value="_xclick" type="hidden"> <input name="business" value="bouncepartyinflatables@gmail.com" type="hidden"> <input name="lc" value="US" type="hidden"> <input
name="item_name" value="Bounce Party Inflatables Event Services on 7/15/2022 for Lead ID# 9541519" type="hidden"> <input name="item_number" value="9541519" type="hidden"> <input name="amount" value="202.61" type="hidden"> <input
name="currency_code" value="USD" type="hidden"> <input name="charset" value="utf-8" type="hidden"> <input name="button_subtype" value="services" type="hidden"> <input name="no_note" value="1" type="hidden"> <input name="no_shipping" value="1"
type="hidden"> <input name="rm" value="1" type="hidden"> <input name="return" value="https://rental.software/quotes/contractme.php?name=Bounce+Party+Inflatables&qid=9541519&cid=7217567&pp=complete" type="hidden"> <input
name="cancel_return" value="https://rental.software/quotes/contractme.php?name=Bounce+Party+Inflatables&qid=9541519&cid=7217567&pp=cancel" type="hidden"> <input name="bn" value="PP-BuyNowBF:btn_paynowCC_LG.gif:NonHosted"
type="hidden"> <input name="notify_url" value="https://rental.software/include/custppipn.php" type="hidden"> <input src="https://www.paypal.com/en_US/i/btn/btn_paynowCC_LG.gif" name="submit" alt="PayPal - The safer, easier way to pay online!"
type="image" border="0"> <img src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" border="0" height="1"></form>
Name: giftcard — POST
<form method="post" name="giftcard"><input name="is_giftcard" value="1" type="hidden"><input name="cc_amount" value="0" type="hidden"><label for="cardnumber">Gift Card Code</label><input id="cardnumber" name="cardnumber"
placeholder="0123-4567-8901-2345" type="text"> <button class="btn" onclick="checkBalance();" type="button"><em class="fas fa-search-dollar"></em> Check Balance</button><br><span id="balance"></span><br><br><label class="checkbox"><input
required="required" name="gcterms" type="checkbox" onclick="if(jQuery(this).prop('checked')==true){ jQuery('#gc_terms').modal('show');}"><span data-toggle="modal" data-target="#gc_terms" data-backdrop="static" data-keyboard="false" href="#"
style="font-size:9pt;">I agree to the terms and conditions of the sale.</span></label><br><button class="btn btn-success"><em class="fas fa-credit-card"></em> Pay Now</button></form>
Text Content
EVENT CONFIRMED! Thank you for booking with Bounce Party Inflatables! If you want to pay by credit card, or sign the contract digitally, you can do so here. Otherwise, if you want to pay by cash or check, you can do so when I arrive for set up, 15 - 30 minutes before the event start time. I will also have a paper contract and liability waiver for you to sign when I arrive. × SUCCESS! Your event is confirmed! 1) Sign Contract Not Complete Sign contract digitally Signature I agree to the terms and conditions as stated in this contract and am legally authorized to sign this contract. Furthermore, I understand that my click-to-sign digital signature makes this contract legally binding. Clear Sign Now Please print, sign, and mail the contract (and check payments) to the following address: Bounce Party Inflatables 801 spartan dr missoula, MT 59801-8698 Print 2) Make Payment Deposit Balance Required Deposit: $0.00 Entire Balance: $202.61 Other Amount $ Payment method: Credit eCheck Paypal Check CashGift Card A payment surcharge fee of $0.00 will be added when using this payment method. Name on Card Card Number Expiration Date Jan (01) Feb (02) Mar (03) Apr (04) May (05) June (06) July (07) Aug (08) Sep (09) Oct (10)1 Nov (11) Dec (12) 202220232024202520262027202820292030203120322033203420352036203720382039204020412042 CVV Number Street Address City State/Province Zip Code I agree to the terms and conditions of the sale. × TERMS & CONDITIONS I am an authorized user of this credit/debit card, and I authorize it to be immediately charged for the amount specified. Agree Pay Now A payment surcharge fee of $0.00 will be added when using this payment method. Name on Account Account Number Routing/ABA Number Bank Name Account Type Street Address City State/Province Zip Code I agree to the terms and conditions of the sale. × TERMS & CONDITIONS I am an authorized user of this credit/debit card, and I authorize it to be immediately charged for the amount specified. Agree Pay Now Please send checks to: Bounce Party Inflatables 801 spartan dr missoula, MT 59801-8698 Cash will be due on delivery. A handling fee of $0.00 will be added when using this payment method. Gift Card Code Check Balance I agree to the terms and conditions of the sale. Pay Now × TERMS & CONDITIONS I am an authorized user of this gift card and I authorize it to be immediately charged for the amount specified. Agree Print a copy of the contract for your records. Print Receipt Bounce Party Inflatables Missoula, MT, 59801 Phone: 4065469463 Invoice: 9541519 Order Date: 4/19/2022 Event Location Judy Powell 1368 Douglas Dr Missoula, MT 59808 Cell: (425) 876-7985 Start Date: 7/15/2022 12:30pm End Date: 7/15/2022 10:00pm Delivery method: Delivery Name Qty Total Dolphin Water Slide 1 $395.00 Rentals subtotal $395.00 Staffing $0.00 Delivery $10.23 Fees $0.00 Discount $0.00 Sales Tax % $0.00 Total $405.23 Deposit Due $0.00 Amount Paid $202.62 Balance Due $202.61 RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT This Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement (this “Release”) is executed by the undersigned (hereinafter referred to as “Renter”) in favor of Bounce Party Inflatables, a Montana sole proprietorship. In consideration of Renter’s rental from Bounce Party Inflatables of certain inflatable equipment to be used by Renter, Renter’s guests, invitees or other persons while in Renter’s possession (hereinafter referred to as the “Equipment”), the sufficiency of which consideration is hereby acknowledged, RENTER, for Renter and Renter’s personal representatives, heirs, and next of kin: 1. HEREBY RELEASES, WAIVES, AND FOREVER DISCHARGES Bounce Party Inflatables, its agents, employees, officers, directors and shareholders (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY TO RENTER, Renter’s personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIMS OR DEMANDS THEREFOR ON ACCOUNT OF PERSONAL INJURY, DEATH, OR DAMAGE TO PROPERTY ARISING OUT OF OR RELATED TO RENTER’S RENTAL OF, POSSESSION OF, OR THE USE OF THE EQUIPMENT, WHETHER CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 2. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST, including without limitation litigation expenses and attorneys’ fees, THAT ANY RELEASEE MAY INCUR, ARISING OUT OF OR RELATED TO RENTER’S RENTAL OF, POSSESSION OF, OR THE USE OF, THE EQUIPMENT, WHETHER CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 3. ACKNOWLEDGES that use of the Equipment may involve INHERENTLY DANGEROUS ACTIVITIES AND THE RISK OF SERIOUS INJURY, DEATH AND/OR PROPERTY DAMAGE, AND HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to RENTER’S RENTAL OF, POSSESSION OF, OR THE USE OF, THE EQUIPMENT, WHETHER CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 4. ACKNOWLEDGES AND HEREBY AGREES THAT insurance for liability, health, and medical or disability coverage in any way related to Renter’s rental of, possession of, or the use of the Equipment is the sole responsibility of Renter. 5. HEREBY AGREES THAT: (a) this Release is intended to be as broad and inclusive as permitted by the laws of the State of Montana and shall be governed by and interpreted in accordance with the laws of the State of Montana; (b) in the event that any clause or provision of this Release is determined to be invalid or unenforceable by a court of competent jurisdiction, such provision shall not otherwise affect the remaining provisions of this Release and the remainder of this Release shall continue to be enforceable to the fullest extent permitted by law; and (c) this Release represents the entire understanding of the parties with respect to the subject matter hereof, and there are no oral or other representations or statements that have been made by Bounce Party Inflatables with respect to the subject matter hereof. Lessor will: 1. Provide the necessary staff to facilitate your event and power cords to reach a minimum of 50ft. 2. Deliver, set-up, teardown, and operate all activities with/without volunteer staff. 3. Carry a liability insurance policy covering our services & equipment. Lessee will: 1. Provide _1__ 110volt/20amp electric circuits and 10/12 gauge cords for distances over 50ft. 2. Provide any required entrance and parking passes. 3. Provide a minimum of _1__ adult volunteer(s) to operate the activities. Details for Dolphin Water Slide: I HAVE READ THIS CONTRACT AND AGREE & UNDERSTAND THE CONTENT. Sign Now Signature Date Printed Name Powered by © InflatableOffice, LLC PROCESSING...