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REQUEST A QUOTATION

 If you would like us to give you a quotation for fireworks at your next event, please complete the form below. We usually are able to respond within 24 hours of receiving this form. If you have any questions, please take a look at our info section of this site, or give us a call at 800-240-6064. If you prefer, you can download a printable pdf version of the form here. If you do not have Adobe Reader®, you can download the free software here.

Contact Information
Please provide us with contact information for your function.
Company Name
Contact Person*
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number

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Fax Number

###		 -
###		 -
####
Mobile Number

###		 -
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####
Email Address
Onsite Contact Person
The individual who will be on site the day of the show.
Onsite Contact Number

###		 -
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Site Information
Please provide the date(s), time(s) and location of your function.
Display Date(s)*
Group and/or Event Name*
Function Location/Venue*
The place where the spectators will be located.
Property Representative Name
The name of your liason at the venue of your function
(if not listed above).
Property Rep. Phone

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Email
Desired Display Site
The place where the fireworks will be set off
(if known).
Desired Firing Time*
Projected Budget
Specifying a budget will allow us to provide a more accurate quotation.
Event Theme
(e.g., Surf Party, Hawaiian Luau, Jazz Under the Stars)
Music during the display
 None  
 Live  
 Pre-recorded 
Music style
What band/style of music will be playing?
Additional comments
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