How Balloons Fly - Order Form

To place your order, pleaseprint out this form,
fill in the requested information,and mail it with your check to:

Ted Horton
42 Brookside Road
Westford, VT 05494



Quantity ordered: __________ times $4.00 ($3.00 + $1.00 p&h): ___________

Ship to Name:


Street:


City, State, Zip:


Quantity Pricing:
Quantity    Price each      Postage & Handling
 6 - 29        $2.65   +     $5.00 per order
 30 - 99       $2.35   +     $1.50 per 10 copies
 100 + up      $2.00   +     $1.00 per 10 copies