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Online CD Selection Sheet

Fill in the details below or download our CD Selection Fax Sheet (size: 21k) then print out and Fax back your selection.

Your music selection MUST be with us one week prior to party.

Your Name
Your Email
Party Date
Mobile Phone
Home Phone
Work Phone
Party Address
Home Address
Jukebox Price
Extras
Are there Stairs?	Yes No Are there any Stairs (more than 3 steps), as you may not be able to have the jukebox you have selected & we'll need you to arrange help when we deliver
Time Available	We deliver the day of your party & the more time available to us the easier it is to organise times for deliveries. Please ring us the day before your booking to find out your allocated delivery time.
Bond	Yes No A bond of $50 (to be paid in advance) is required for all halls and clubs. This is additional to the hire fee, but is fully refundable when the jukebox is picked up. Bonds also apply to all KARAOKE jukeboxes.
Compact Disc Selections (Titles)
CD 1
CD 2
CD 3
CD 4
CD 5
CD 6
CD 7
CD 8
CD 9
CD 10
CD 11
CD 12
CD 13
CD 14
CD 15
CD 16
CD 17
CD 18
CD 19
CD 20
Alternate Choices	PLUS SIX EXTRA SELECTIONS - We endeavour to give you your first selections but please appreciate all your selections may not be available, so choose your extras carefully.
Alternate Choice 1
Alternate Choice 2
Alternate Choice 3
Alternate Choice 4
How Did you Hear About Us?	Yellow Pages Someone who used us A Party Hire Shop The Internet Function Venue Other

CD Selection Sheet

Terms & Conditions
All hire goods are to be returned in the condition they are hired in. Any damage incurred by the hirer is the responsibility of the hirer and will paid for by the hirer. Delivery and pick-up arrangements are made through our office and are confirmed by the Hirer and Dial A Jukebox at booking. Bonds apply to Karaoke Jukebox Hires and club and hall bookings. Bonds are fully refundable if all criteria are met. Cancellation of booking within 2 weeks of hire date means deposit is forfeited. These terms are accepted when hiring from Dial A Jukebox.