Ballooning Adventures

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Personal Details
   
Name of purchaser:

*

Address:
  *
 
 
 
County:
 
Postcode:
 
Telephone (day):
 
Telephone (evening):
  *
Email:
  *
     
Passenger Details
   
For example:

Passenger's names, age and weight (in lbs) up to a maximum of 12



 
 
     
Flight Details
   
Flight date:
 
 
 
     
Preferred time of day (if any)
 
     
Is the flight a surprise gift?
 
     
Send me more information about:
 
   
Other details:
 
     
Payment Details
   
     
Please enter the total no of passengers (up to maximun of 12)
 
     
Please make all cheques payable to Ballooning Adventures Limited and send to 5 High Warden Cottages, High Warden, Hexham, Northumberland NE46 4SR to the amount of

£
     
Do you confirm you have read the Terms and Conditions?
     
Type 'I AGREE' without the quotes to confirm