Required fields are marked with asterisks (*)

Display Fireworks Application

Are you a federally approved fireworks technician looking to discharge fireworks? The Display Fireworks permit lets you do so!

Please fill out this form with your information at least two weeks prior to the event date.

Applicant Information

First Name:

Last Name:

Event Name:

Company Name:

Street Name:

House or Unit #:

Postal Code:

City/Town

Phone:

Email Address: