Information Request Form

To print out and fax form, click here.

Please fill in ALL fields


Organization Name:
Street Address:
City:
State:
 Zip
Country:
Contact:
Phone #:
 Ext:
Fax #:
E-mail:

Are you an:

End user
Agent/Rep (specify country and buying agency)
Other (specify):



What do you want to use the balloon for? (your answer will better help us with our recommendation):

Meteorological soundings
Meteorological education
Upper air data collection other than soundings
Research -- Type of Research:
Advertising
Laboratory
Tower Marking
Party Decorations
Stage Props
Other ( please describe):




How did you hear about us:

Referral - Please specify by whom:
Internet Search
GSA Schedule
MIG Buyers Guide
US Military Purchasing Directory
Other ( please describe):




Please check your interest or need:

   
Performance
Price
Quantity
Ceiling Balloon 9km
   
--
--
--
Pilot/Balloon 10 km
  11 km
  12 km
  16 km
   
--
--
--
Sounding/Balloon 20 km
  24 km
  25 km
  26 km
  28 km
  29 km
  31 km
  32 km
  33 km
  35 km
  36 km
  40 km



Please indicate the information you are interested in:

Custom Specifications
Delivery
Other (specify):


Please use this space to provide any other information that may be helpful in fulfilling your request.