P.O. BOX 6540, DUNEDIN NORTH 9059

686 Great King Street

www.videotech.co.nz

PHONE (03) 477-6541 FREE PHONE 0800 4 JUKEBOX FAX (03) 477-1781

Please make cheques payable to VIDEO TECH LTD Please add 30c Cheque Fee

LIGHT HIRES and or SMOKE MACHINE

Name:

Full price of your hire is: Date of Hire:

All major Credit Cards Accepted

For Direct Credits BNZ Acct: No 02-0912-0310386-000

Light Type: (please circle)

Rope light, Destroyer, Mix Moon, Flame, Red Laser, 4x colour

6x colour, Mirror ball, Smoke machine, Led Party, Twin Laser

Rave Laser, Purple Laser, Disco Ball, Black Light (sm) Black Light (lg)

PAR64 Spotlight, Strobe,

All our prices include G.S.T.

IMPORTANT PLEASE READ

The Full price balance is to be paid before or on pick up.

If you cancel your booking within 1 weeks of your hire you will forfeit your deposit.

If you cancel your booking within 2 days of your hire you will forfeit 75% of your full hire charge.

CONDITIONS OF HIRE

1) Please ensure you pick up the equipment between 8.30am and 5.00pm, Monday to Friday. Video Tech is NOT open Saturday or Sunday.

2) The hirer accepts full responsibility for the equipment. Should any damage occur the hirer will be held responsible.

Have a great night and please do not hesitate to contact us if you have any queries.

Video Tech Ltd

Jukebox Party Hire

686 Great King Street

Dunedin

Tel No: 03 477 6541

BOOKING CONFIRMATION

www.videotech.co.nz

Email:

I accept Video Tech Ltd’s Conditions of Hire and herewith enclose my deposit to confirm my booking details as follows:

Name:

Home Address:

Telephone: (Day) (Night)

(Mob) (Email)

Venue:

Date of Hire: Function:

Light Type: (please circle)

Rope light, Destroyer, Mix Moon, Flame, Red Laser, Strobe, 4x colour

6x colour, Mirror ball, Smoke machine, Led Party, Twin Laser

Rave Laser , Purple Laser. Disco Ball, Black Light (sm) Black Light (lg)

Total amount enclosed: $

Signed: Dated:

Have you heard our Radio advertisement? (Please tick one) Yes No

Have you been to our Website? (Please tick one) Yes No

Have you seen our ad in the Otago Daily Times? (Please tick one) Yes No

Have you seen our ad in the Yellow Pages? (Please tick one) Yes No

All major Credit Cards Accepted

For Direct Credits BNZ Acct: No 02-0912-0310386-000

Return this page to: Video Tech Ltd

P.O. Box 6540

Dunedin North 9059

Or to: 686 Great King Street

Email