BALLOON IMPRINT ORDER FORM - LATEX OR MYLAR
Please print and fax to our secure fax at 202-835-0232 or
888-200-9888, or mail to the address below.

LATEX (rubber balloons): Globe_____ AdRite_______ Qualatex_________
Multi-Color Print____

MYLAR (foil balloons): Rounds____ Hearts____ Stars____

QUANTITY _________ SIZE_______ INK COLOR(S)________________________

COLOR(S) OF BALLOONS___________________________ or ASSORTED________

DATE YOU MUST HAVE BALLOONS (by close of business)_________________
(For next business day shipping, orders must be completed by 3PM ET)

TYPESTYLE_________________ LOGO OR ARTWORK_________________________
(For simple artwork, high resolution JPEG files, and PDF files may be
used. For detailed logos, or multi-color imprints, emailed artwork
should be line art/vector image in Adobe Illustrator or Macromedia
FreeHand. Corel Draw files must be exported as Illustrator, AI, or
EPS files. Type must be converted to curves or
paths.)

BALLOON ACCESORIES: Seals/Valves/Straws/Saucers ___________________

Ribbon_____________________________________________________________

SHIP-TO
ADDRESS:___________________________________________________________

___________________________________________________________________

___________________________________________________________________

__________________________________________ZIP CODE ________________

DELIVERY ADDRESS PHONE NUMBER #(______ )___________________________

CREDIT CARD* 
NUMBER #___________________________________________EX DATE_________

NAME ON* 
CREDIT CARD_____________________________________CID#_______________

CREDIT CARD*
BILLING ADDRESS____________________________________________________
(if different from 
ship-to)
_____________________________________________ZIP___________________

HOME PHONE NUMBER #(_______)_______________________________________

WORK PHONE NUMBER #(_______)_______________________________________

FAX PHONE NUMBER #(________)_______________________________________

YOUR EMAIL:______________________@_________________________________

SPELLING AND LAYOUT OF IMPRINT: One Side Imprint_____ Two Side_____
(4 LINES OF TEXT / 15 CHARACTERS PER LINE MAXIMUM RECOMMENDED)

LINE 1
___________________________________________________________________

LINE 2
___________________________________________________________________

LINE 3
___________________________________________________________________

LINE 4
___________________________________________________________________

IF WE ARE USING YOUR FEDERAL EXPRESS OR UPS ACCOUNT TO SHIP, PLEASE 

PROVIDE THAT ACCOUNT #:

FEDEX AIR ACCOUNT #:_______________________________________________

FEDEX GROUND ACCOUNT #:____________________________________________

UPS ACCOUNT #:_____________________________________________________ *All imprint orders must be pre-paid. Mailing Address & Customer Service Information: Balloon Bouquets, Inc. 500 23rd Street, NW Washington, DC 20037-2830 US Customer Service Hours: 9AM-5PM ET, MONDAY -FRIDAY: PHONE: 202-785-1290 or 800-424-2323 SECURE FAX: 202-835-0232 or 888-200-9888 (24/7)

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