© 2011 - All Rights Reserved - Balloon NY
*Full Name:
*Primary Phone Number:
Alternate Phone Number:
*Best Time to Call:
*Email Address:
*Mailing Address:
Mailing Address line 2:
*City:
*State/Province:
*Zip Code:
*Country
Make a Reservation:
Please complete and submit the following reservation form. Someone from Balloon NY will contact you as soon as possible. If you are purchasing a Gift Certificate please complete the entire form.
Once you have submitted the Reservation Form, you will be taken to a page where you can download and print our WAIVER.
PLEASE BRING THE SIGNED WAIVER WITH YOU ON THE DAY OF YOUR FLIGHT.
In addition, we have prepared a "What to Bring" list that will help you better prepare for your adventure.
*Desired Flight Date (mm/dd/yyyy) :
*Alternate Flight Date (mm/dd/yyyy) :
*Number of Passengers :
*Please list below the height & weight of each passenger:
*Are you purchasing a GIFT CERTIFICATE?
If you are purchasing a GIFT CERTIFICATE please complete the following section. If not, you may click the SUBMIT button now.
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GIFT CERTIFICATE Recipient's Full Name:
SPECIAL OCCASION TYPE:
Is this a Surprise?
Where do wish to have the GIFT CERTIFICATE sent?
(if different than the address listed above)
