Custom Imprinting

Please use this form to place orders for burton + BURTON™ Custom Imprint merchandise only.

To expedite orders, please be sure to include the following items on each order:

1. Quantity
2. Balloon Size
3. Balloon Color
4. Ink Color
5. One or Two-side Print
6. QX Express (Impress II®, Standard Imprint, or Microfoil®)
7. Requested Arrival Date
8. Complete Shipping Address and Instructions

Upon receipt of your order, you will be contacted by phone by one of our Custom Imprint Consultants to make payment arrangements. Please do not call in and re-place your order. Calling and re-placing your order over the phone can result in duplicate orders.

Customer Information:
Date of Order:
P.O. Number:
Customer Number:
Business Name:
Contact Name:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
E-mail:
Ship-to Information:
Business Name:
Contact Name:
Street Address:
City:
State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Country
Zip Code:
Ordered By Information (complete only if different from Ship-to Information)
Business Name:
Contact Name:
Street Address:
City:
State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Country
Zip Code:
Custom Imprints Order
Requested Arrival Date:
Quantity:
Size:
Color:
Ink Color:
Logo:	Yes  No
Side 1:
Side 2:
Type of Service:	QX Express   Impress II®   Microfoil®
Special Instructions:
Required Fields Once you click on the Submit Order button below, you will immediately receive a confirmation of your order. Please print it out and retain it for your records.