Jukebox & Karaoke Hire Booking Form

Online Booking Form

Contact Information

First Name*

Surname*

Email*

Home Address*

Phone (Home)

Phone (Work)

Phone (Mobile)*

Booking Information

Select your Jukebox*
Plus $50 Refundable Bond

Microphone for Speeches On Audio Only Jukeboxes

$20 Microphone

Function Date*

Function Time*

Venue Type

If Other

Function Address*
Please Note: We do not deliver to halls

Any Stairs?

Number of Stairs**Maximium of 3 allowed

Extra Delivery
(Please refer to the Delivery Area Map to check your Zone)

WITHIN FREE DELIVERY ZONE

ZONE 2

ZONE 3

Need to Specify your Delivery Time?
Note: a $20 Fee Applies

NO, it can be anytime between 9am & 5pm

YES, I understand the $20 fee applies (my time is specified in the Notes section below)

Payment Preference
Please Note: A $50 deposit will be required to secure your booking
Bank details will be supplied upon booking confirmation.

Bank Transfer

Cash on delivery

Notes / Special Delivery Instructions

I have Read and Agree to the Rental Agreement

Jukebox & Karaoke Jukebox Hire - Brisbane, Logan & Gold Coast

It was a great night and everyone loved the jukebox

- Laura

- Karen