1. Is this a new event?  Or one that has been held before?

We're planning a new event This is our 2nd year This is our 3rd year This is our 4th year This is our 5th year Between 6 and 10 years (Other - fill in blank)     Other:

2. When does your special event take place?

Christmas New Year's July 4th Memorial Day (Other - fill in blank)        Other Date:

3. Where is your special event going to be held?

4. What type of show defines your pyrotechnic event?

Aerial Only Aerial and Set Piece Aerial and Close Proximity (off rooftops, close to crowd) Close Proximity Only Theatrical Daylight Show Low Level Only (Other - fill in blank)

Other:

5. Where is your event fired (firing site)?

Land Buildings Land and Buildings Water (barges) (Other - fill in blank) Other Firing Site:

6. Is your event:

   Choreographed to Music   Not Choreographed to Music

7. What is the duration of your event?

 Duration:

8. Is your event simulcast on radio or television?

Radio Television Both Neither

9. What is the proposed budget for your event?

   Budget:

10. Are you interested in receiving our Pyrotechnic Production Treatment?

  Yes please.   No thanks.

11. Please feel free to add comments that will help us understand what makes your event unique.

12. And, finally, tell us how to get in touch with you:

Name
E-mail
Phone
FAX

I would like to talk to one of your representatives as soon as possible.

 Thank you very much for your time and consideration!