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Sign up to receive exclusive offers, Phantom's best coupons, the latest holiday E-cards and important product information. To receive the Phantom Exclusive E-Values you must be 16 yrs of age or older. You can resubmit this form at a later date to update your information. We value your participation and respect you privacy. Read our Privacy Policy for more details.

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CUSTOMER SURVEY

The survey will help us at Phantom fireworks.com find out what you like so we can customize our specials for you, our valued customers. You must be 16 years of age or older to fill out the survey. We value your participation and respect you privacy. Read our Privacy Policy for more details.

Name:
E-Mail:
What is your gender? Male
Female
What is your age range?
What is your marital status? Married
Not Married
How many people are in your household?
(yourself included)
What is your level of education?
What is your household income?
How do you prefer to receive information
from Phantom Fireworks?
What are your favorite types of fireworks?
(Check all that apply)		 Firecrackers
Roman Candles
Aerial Repeaters
Mortar Shells
Sparklers
Assortments
Party Poppers and Novelty
Tubes
Rockets
Fountains
Other
Have you purchased from Phantom Fireworks in the past? Yes
No
What holidays do you plan to use fireworks?
(Check all that apply)		 Your Birthday
Memorial Day
4th of July
Labor Day
New Year Celebration
Wedding
Other
Have you purchased any type of product or service online? Yes
No
Comments/Questions:
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