Information Request:

So... You Want A Fireworks Display! The purpose of this reply is to gather more information about your particular needs. Please feel free to fill out the following section and one of our consultants will contact you within days of receiving this request. If you would like, you can call us toll free at 1-800-245-0397.

Our Mailing address is P.O. Box 1463, New Castle, PA 16103

	We are considering a fireworks display for (Date).

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Approximate budget range for fireworks: $ RequiredInvalid format

We prefer an outdoor aerial fireworks display.

We prefer an indoor/special effect pyrotechnic production.

We are uncertain about the type of display we want and cost.

Please forward your additional information.

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	Title
	Business
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	State	Required Zip Code RequiredInvalid format
	Phone (555) 555-5555	RequiredInvalid format
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	How did you find out about us?	Required

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Information Request:

Webmaster: Gary Petrie Visual Imaging