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

Slushie Machines……Single Tub - Mini Tub - Twin Tub

Syrup Choice #1………………………. …………………..Syrup Choice #3………………………………………..

Syrup Choice #2…………………………………………….Syrup Choice #4……………………………………….

Price of your Hire………………Extra Syrups……………Total……………………………..

Name:

Venue:

All our prices include G.S.T.

IMPORTANT PLEASE READ

A deposit of $50.00 is required at the time of making your booking.

The balance is to be paid 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

Fax No: 03 477 1781

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:

Address:

Telephone: (Day) (Night)

(Mob) (Email)

Venue:

Date of Hire: Function:

Total amount enclosed: $

Signed: Dated:

Have you heard our Radio advertisement? (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

Please make Cheques Payable to Video Tech Ltd & Include 30c Bank Fee

Return this page to: Video Tech Ltd

P.O. Box 6540

Dunedin North 9054

Or to: 686 Great King Street

Fax: 03 477 1781