Event Inquiry - Information and Request for Quote form

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P.O. Box 335

Newton, MA 02464

T: 617-828-2313

F: 801-457-5221

em: sales@rentacasino.net


Event Inquiry and Information Form


We need to know in as much specific detail all about your planned event to help us properly prepare a quote for your requirements:

Event Type

 Fundraiser - No Dealers, equipment only

 Full Service Casino Night w/Dealers

 Home Party - Equipment only

 Home Party - Equipment & Dealers


 Yes No
 If your event is a Fundraiser, have you ever conducted one before?

Event Date: MM/DD/YR

Second Choice date: MM/DD/YR

Total # of guests expected:



Please check all that apply to your event:


 Casino equipment


 DJ Services


 Themed Event

 Private Home

 Bartending services

 Country Club


 Office building

Please select the quantity of gaming tables you wish to receive a quotation on:


 Blackjack (21) table (stand up type)

 Blackjack (21) table (sit down type)

 Texas Hold Em Tables

 Craps Tables

 Roulette Tables

 Wheel of Fortune (Money Wheel)

 Decor  Yes No (none needed)
 Accessories: Cards, chips,Shoes etc  Yes No (none needed)
 Other (ex. Octogon Poker Table)


Your contact information:

 Street Address:
 City, State, Zip Code:
 Your email address:
 How did you hear about us?
 Home Phone:
 Comments: Special needs:
 Do you need a recommendation for a local caterer? Yes No







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