The following party agreement may be emailed w/ payment via Paypal
or printed and sent postal mail with a check or money order

PLEASE CONTACT MIKER FIRST!

Zurbo the clown - Miker the Balloonizator
Party Agreement

Valid upon received deposit __________________________________________________________________________________

1) Date of my party: ___________ The Party starts at:___:___

2) Mike/Zurbo begins at ___:___ and Ends at ___:___ for a total of $________

3) Approximate maximum number of children invited to the party (Please mark one)
__ 1 to 10 __ 11 to 20 __21 to 30 __ 31 to 40 __over 40

4) Mike will be: __ Himself (Plain Clothes) __Zurbo (Clown)

5) My first and last name:________________________________________________

6) My Phone Numbers: (____)_____-_______ or (____)_____-_______

7) My address: _________________________________________________
__________________________________________________
__________________________________________________

8) Address of the party (If different from above)________________________________________ ________________________________________ _____________________________________

9) I agree to the following:
a) The customer takes full responsibility for supervising children. At least one adult other than Miker/Zurbo will be present at all times.
b) Enclosed is a nonrefundable deposit of $50.
c) I will pay Miker/Zurbo the rest by cash or check payable to Mike Heyniger on his arrival.
d) The customer may cancel at any time until 48 hours before the party. In the event of a short term cancelation Miker keeps the $50 nonrefundable deposit and forgives the balance.
e) This agreement valid only after confirmation of rate and date availability.

Customer Signature:__________________________ Date of Signature:______________________

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