Pyrotechnics Request

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This field is for validation purposes and should be left unchanged.

Name of Event(Required)

Location of Event(Required)

Stand Number(Required)

Company(Required)

Who is your contact at PCEC?(Required)

Name(Required)

First Name Last Name

Email(Required)

Phone(Required)

Do the details above match the onsite contact details?(Required)

Yes

Onsite Contact Name(Required)

First Last

Onsite Contact Mobile(Required)

Company Insurance Number(Required)

Value of Cover(Required)

Public Liability Cover Number(Required)

Insurance Company(Required)

Location of Pyrotechnic Display(Required)

Type of Pyrotechnics(Required)

Pyrotechnics Supplier(Required)

Copy of Risk Assessment(Required)

Max. file size: 128 MB.

Product Spec Sheet/MSDS(Required)

Max. file size: 128 MB.

Copy of Public Liability(Required)

Max. file size: 128 MB.

Name(Required)

Signature of Authorised Company Officer(Required)

Date(Required)

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