Balloon Room Custom Order Form

Balloon Room Custom Order Form

Only fill out this form after order is placed.
Full Name

First NameLast Name
Order number
Please put your order number that was sent by email to your account in the box below so we can connect this form to your order.
Unless this is a digital order, the shipping address below does not need to be filled.
Shipping Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Which is your preferred contact with updates about your order?
Describe Your Custom Order
Please put full details of what is needed for us to fulfill your order. Every item has a description below to guide you. If you have an example of item you seen and you want us to remake that please include it in the upload that in the reference image below.
Date

MonthDayYear
Date desired for order. Due to volume of orders. An approval of date will be sent.
What is the celebration for the order?
Upload Reference Image (optional)

Cancelof
File Upload (all images wanted in your order should be uploaded here)

Cancelof
Please provide any additional details or instructions for your custom order here.
I confirm that I have read and understand the FAQ section. If any changes need to be made to my order, I will contact Balloon Room by texting (309) 530-7526 with the updated information.I understand that if my order is a rush order, I must notify Balloon Room and that an additional rush fee may apply. I also understand that, depending on the volume of orders and the time of year, rush services may not always be available.By placing this order in advance, I acknowledge that Balloon Room needs adequate time to create a mockup, send it for approval, and complete production and shipping.
Should be Empty: