Coastwide Amusements

Equipment Booking Form






Home Phone No Mobile Phone No 


Customers Email Address


Delivery Address 


Is access to the delivery site difficult ?  If yes please give details below

Ie: Steep Driveway or path, More than 3 stairs, Narrow doorway or path <750mm


Function Date Start Time Finish Time


Preferred Delivery Time   Preferred Collection Time

Please allow at least a 1 hour time frame to allow our drivers flexibility ie: 10-11 am


Is this function a surprise function  If so please supply us a safe contact No


Equipment Required


           18 CD Juke Box                                x Pinball Machines

           Digital Juke Box                               x Video Games

           Digital Juke Box with Karaoke      

           Music Activated Lights


                           Any Comments and Questions




Services We Provide

Equipment We Hire

Music Lists


Contact Us

Booking Form

Sorry this form is still under construction

and is not working at this time

Please visit our other site HERE and use the booking form on that site or you can call our friendly office on 02 4329 4666 for assistance