Happy Birthday Order Form

Step 1: Choose your package*

Happy Birthday StarterOur Starter Package Includes: "Happy Birthday Sign" and two large balloons or cakes.

$45.00

Happy Birthday PremiumPremium package includes: "Happy Birthday Sign" , ONE name and birthday flair.

$85.00

Happy Birthday EliteThe Elite Package Includes: "Happy Birthday" spelled out in individual large glitter letters, ONE name of the recipient, age and all sorts of flair!

$125.00

Happy Birthday CUSTOMDon't see exactly what you want, customize!! We are happy to customize your order for your exact needs.

$150.00

Total

$0.00

What date would you like the display?*

Date

On the date you selected, what time of day would you prefer the display to be set up?*

I'd like it to be a surprise when the recipient wakes up.We are having a party and will need it set up for that.Any time on the date I requested is fine.Other

If other, please explain here.

Your Name*

First NameLast Name

Your Email Address*

example@example.com

Your Phone Number*

Please enter a valid phone number.

Billing Address (nothing will be billed on this form)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is the billing address the same as the delivery address?*

YesNo

Recipients Name*

First NameLast Name

Recipients Age*

(this will be used to help us select the extra flair)

Recipients Gender: (M/F/NA)*

(this will be used to help us select the extra flair)

I'd like to add an additional name to my yard card for an extra $20. Fee will be added once you are invoiced.

Yes. I will be adding an extra name for $20

Additional Recipients Name

First NameLast Name

Additional Recipients Gender: (M/F/NA)

(this will be used to help us select the extra flair)

Additional Recipients age:

(this will be used to help us select the extra flair)

Please complete ONLY if you've selected a CUSTOM ORDER. Let us help you Personalize your CUSTOM sign for your special occasion. What would you like it to say? ie: "Sweet Sixteen" "OVER THE HILL"

* ONLY FOR CUSTOM ORDERS $150

Based on inventory available, we try to make your yard greeting as personalized as possible, we encourage you to list items such as your recipients favorite colors, hobbies & interests:*

Delivery Address (where will we be setting up)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gate Code (if applicable)

Tell us a little about the yard or location (this includes yard size or surface ie: real grass, turf lawn, rock, hills or any other pertinent information)*

Please remember to notify the homeowner that they will be receiving an AZ LOVE BOMB display within 24 hours of delivery.

Homeowners need to turn off their sprinkler and/or irrigation and notify any yard maintence service company for the duration of the AZ LOVE BOMB display.

I acknowledge that all watering systems (including sprinklers, irrigation, hoses) need to be turned off during the 24 hour period I have the display. If damage occurs do to watering system I am responsible.*

Yes. I understand and will have all yard watering turned off during the time I have the azlovebomb display.

The following zip codes are already included in our fees:

East Valley
chandler
85224 | 85225 | 85226 | 85286

gilbert
85233 | 85234 | 85295 | 85296 | 85297

mesa
85201 | 85202 | 85203 | 85204 | 85206 | 85210 | 85212 | 85213

tempe
85281 | 85282 | 85283 | 85284

Central Phoenix
paradise valley
85253

phoenix
85008 | 85016 | 85018 | 85020 | 85028

scottsdale
85250 | 85251 | 85257 | 85258

If you do not see your zip code, we are happy to see if we can help you celebrate your special event for an additional delivery fee of $25+

I confirm that the delivery address above is within the service areas provided and understand if it's not, travel fees may apply.*

Yes. The address above is in the service areas.No. The address is outside of the service areas provided and I understand that extra fees may be applied.

I understand this is a 24 hour rental.*

Yes

How did you hear about us?*

I was referred by:

School code:

Enter school code to donate 20% back to participating schools

Thanks for submitting your order!

You will receive a text or an email that we have received your order. We are here to help answer any additional questions you may have.

Once confirmed you will be sent a square invoice. Once payment has been completed your order will be added to our schedule.

Thank you,

AZlovebomb.com