Custom Package Request Form

First Name:

Last Name:

Contact Phone # (incl. area code)

Email Address

Please contact me by:
Phone
Email

How much is your budget (not including taxes)?
$ 100.00 (minimum order) $ 150.00 $ 200.00 $ 250.00 $ 300.00 $ 350.00 $ 400.00 $ 450.00 $ 500.00 over $500

Desired Time Duration
If your show is very short, we recommend high-end pieces. If your show is longer, we will include a mixture of small & large pieces with an excellent grand finale.
2 minutes 5 minutes 10 minutes 15 minutes 20 minutes 30 minutes 45 minutes 1 hour

Noise Level
No noise: visuals only Some bangs and reports Many bangs and reports The louder the better!!!

Wheels
Would you like to incorporate wheels or spinners in your display? Note: must be nailed into a stake, above ground.
No wheels, thank you One wheel Two wheels Three wheels Other

Do you require a firing order?
We can supply a list outlining the recommended firing order for your customized fireworks package at no extra charge!
Yes, I'd like a firing order No thanks, I'll do it myself

Will you require Sparklers with your display? If so, how many?

Additional Information
Please provide your credit card and delivery information and notify us of any additional requests you have, or of any specific products or effects you'd like included, such as Glow Sitcks or Glow Necklaces, Bomb Bags or Smell Bombs, Strobe Lights, Ignitors, etc.

Please click once to Submit