Please Complete The Form Below

Balloons UK Ltd

You have chosen to pay in full for your vouchers today.
You will be charged £129.00 per voucher. All vouchers are valid for 12 months.

(mandatory fields *)

NAME , ADDRESS & TEL. NO. OF THE PERSON MAKING THE BOOKING
Title:
*
First Name:
*
Surname:
*
Address
*
City
*
County
*
Postcode:
*
Telephone (Day/Work):
* please provide at least one telephone number
Telephone (Home):
Mobile Telephone:
Email Address:
*we will send an order confirmation to this address
 
DELIVERY ADDRESS, IF DIFFERENT FROM ABOVE:
First Name:
Surname:
Address
Postcode:
(To prevent spoiling any surprise, our office will not make any contact until after a chosen flight or gift date as indicated below)
 
Passenger Details
Please complete the following details just as you would like the names to appear on the vouchers. If you leave the form blank, we will issue the vouchers without names.
 
Number of passengers:
*
 
Title
Forename
Surname
Approx weight
              Age
 
Do you have a preferred date for the flight?

If yes, please state the date you would like to fly (DD/MM/YYYY)

/ /

If no date is chosen above, we will issue the voucher(s) “open dated” and wait for the passenger(s) to contact our office to arrange their own preferred date.

 
If the flight voucher is a gift, what would be the earliest date we would be able to contact the passenger without spoiling any surprise? (DD/MM/YYYY ): / /
 
  Please tick to agree to our terms and conditions