TEXAS LITE AND PYRO

Service Request Form

Please print, fill out and return.  Someone will contact you to discus your needs further.

          

        Event Type -    Public     Corporate     School     Filming Movie     Wedding     Private Party

        Event Name _________________________________________  Today's Date ___/___/___

        Event Date ___/___/___         Time___:____ am / pm          Event Duration______________

        Location Address ________________________________________    City Limits:  In  / Out

       City _______________________  County _______________ State______  Zip __________

 

       Your Name _____________________________________  Phone (____)_____-_________

       Event Contact ___________________________________  Phone (____)______-_________

       Billing Address _____________________________________________________________

       City ______________________________________  State___________   Zip____________

Services Needed

Fireworks - Duration of Show in Minutes    5     7     10     12     15     17     20

 

Special Effects

 Lasers      Snow     Confetti      Smoke      Lights      Fog     Rain      Wind      Flame

Duration of Special Effect ____________   Time Needed ____:  ______  am / pm

Explosion -  What are we blowing up? ___________________________

 

  Please Return  email - Info@TexasLiteandPyro.com

    Texas Lite and Pyro    PO. Box 591293    Houston, Texas  77259

713-494-0081

 

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