| For more information about our products and services, please print and fill out the following form, and fax it to Unique Party Equipment at 631-232-9154. 
Name ___________________________________________________ 
Address __________________________________________________________________ 
Phone number _______________________________________________ 
Fax number ______________________________________ 
Email address _______________________________________ 
Date of Event ______________________________________ 
Type of Event ___________________________________________________ 
Location of Event _______________________________________________________ 
Products and Services of Interest  
___________________________________________________________________________________ 
___________________________________________________________________________________ 
Additional comments or questions  
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