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Helium and Balloon Order Form
Helium and balloons provide cost effective marketing solutions.
Phone: 602-867-4606. Fax: 602-926-2375.
EMAIL:
customerservice@azairboutique.com
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Name/Company Name
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Management Company (if applicable)
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Contact Email
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Contact Phone Number
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Customer Status
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New
Existing
Shipping Address
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Shipping City
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Shipping State
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Shipping Zip
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Billing Address
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Billing City
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Billing State
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Billing City
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Billing Zip
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Helium Tank Size (NOTE: 55 CF tank is available for office pick up only)
300 CF
220 CF
125 CF
55 CF (Pick Up Only)
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Number of tanks
Your answer
Balloon Size
11" Latex (144 Pieces/Bag)
17" Latex (72 Pieces/Bag)
36" Latex (1 Piece)
60" Latex (1 Piece)
72" Latex (1 Piece)
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Balloon Color
Standard Blue
Standard Green
Standard Orange
Standard Red
Standard White
Standard Yellow
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Balloon Quantity
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Accessory
Ribbon (500 Yards)
String (10,000 ft)
Pennant Line (100 ft)
Regulator
Hi Float
Small Balloon Weights (1 Piece)
Clips (1 Bag)
144 Balloon Clips (1 Bag)
Red Helium Cover (1 tank Cover)
7" Vinyl Ball - Red (1 Ball)
Vinyl Hose (1 Hose)
Vinyl Patch Kit (1 Kit)
Vinyl Rope (100 ft)
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Accessory Quantity
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Additional Notes
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