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This form is a convenient way for you to order your Party requirements online. To save us having to query your order please ensure you fill in all the boxes. When you have completed the form, click on the submit button at the bottom. One of our staff will contact you within 24 hours to confirm your details. If you have any further queries or would like some help with the form, please contact us on 0800-4A JUKEBOX (0800 425 853) PLEASE EMAIL US AT jukeboxes.nz@gmail.com *PLEASE NOTE: NOT ALL JUKEBOX'S ARE AVAILABLE IN SOME LOCATIONS
Your Details
Name: *
Street Address: *
Suburb:
Town: *
Phone Number *
Mobile Number:
Email Address:
Function Date
Function Location
Equipment Requirments
Product: *
Party Lighting
Query or Special Requirements
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Costs: As cost may vary from area to area, we will confirm your final price in our return, confirmation, email. (You will receive this within 24 hours).