Eastern CT Balloon Services, Inc.
P.O. Box 628
Jewett City, CT 06351-0628
860-376-5807
Fax 860-376-5101
E-mail: info@easternCTballoon.com
Home: www.easternCTballoon.com

To schedule a flight, or purchase a Boarding Pass/Gift Certificate, please forward the following information to us:

Your Name:
Address:
City State Zip:
Telephone Home:
Telephone Work:
Telephone Cell:
Email address:

Number of passengers:      Total combined passenger weight:   lbs.

If you are purchasing a Boarding Pass/Gift Certificate(s) without selecting a reservation date, please skip the next 3 lines.
Reservation date (1st choice):  Sunrise only
Reservation date (2nd choice):  Sunrise only
If redeeming a Gift Certificate(s), provide number(s):


If this is a new purchase, enter your total cost:  
Deposit/Payment amount:    (Gift Certificates must be paid in full. Flight deposits require a minimum of $50 per passenger.)
Payment method: Check-(mail copy of this completed form with your check)
NOTE: You can click the SUBMIT FORM button below to make a reservation. We hold dates up to 7 days for your check to arrive in the mail.

Any questions or comments? (i.e. How many Boarding Pass/Gift Certificates are you purchasing? How many passengers per Boarding Pass/Gift Certificate? The name(s) you want typed on each Boarding Pass/Gift Certificate? Are you rescheduling a canceled flight? When was your last reservation? Do you have a deposit on file with us? etc.)