In order to use this form, you should see text entry blocks displayed in the form below. When you push "Send" all the Information on this form is automatically sent to Special Effect Supply e-mail.

Please be careful and accurate when submitting information, we will use this information to check the effectiveness of our advertising, develop product lines that meet your needs, and notify you of new products. All information submitted by you is confidential. We don't sell addresses to other companies. (We're just not that organized.)

If you have a question please write using your own email program or ours. Don't ask questions on this form because I just print these out and use them to address your envelope. I do this at home in front of the TV and far from my computer. I read the comments to see what people want me to carry.


What kind of information do you want to receive from Special Effect Supply Co.? Select one:

12 page Catalog Only. (There is no charge if you send a stamped self addressed envelope.)  
E-mail Updates Only. Sent to e-mail address given below.  
I want paper catalogs and electronic updates, Yes! Yes! I want it all!


  All About You: Information for our Data Files:    
First Name:
Middle Name or Initial:
Last Name:
Company Name:
Your Title:  
Your
E-Mail Address: Example: John117@aol.com  
Address First Line:
Address Second Line:
Use this line only if needed.
City:
State or Province (Use two letter Postal abbreviation if in the US):
Zip or Postal Code:
Country:  
Your Phone:
Another Phone:
FAX:  

Now that you done all that, please type your name and address exactly as it would appear on an envelope (This is your address label)   Your Name Your Address City, State, Zip          
Your Age, if under 20 or over 90:  

The Category of Your Specialty: This is the one thing that best describes what you do.    

Your Specialty:
      NOTE: Please be specific. For example: Physical Effects, Pyro, Stunt Rigs, Rain.


What type of creative person are You?: Into what pigeon-hole would you place yourself.     Select one:

Just Interested in Special Effects.  
Artist or Sculptor.  
Engineer or researcher.  
Haunted House Owner or Operator.  
Special Effects Person.  
Makeup Artist.  
Teacher or Educator.  
None of the above, I am not a person.

 


Level of Ability: Select one:

Pro, full time professional.  
Semi-Professional, works occasionally in a professional capacity.  
Advanced, ready for professional experience. Competent, but without professional experience.  
Amateur, a serious dabbler who wants to learn.  
Student, eager to learn. You must use this category if you are a student at any level.  
Beginner, just starting out. Looking for opportunities to just come and watch.

 


Where did you first learn about Special Effect Supply Co.? Select one:  
Browsing the Net.  
From a Link on someone else's website.  
Referred by a friend.  
Ads in Fangora Magazine.  
Ads in Cinefex Magazine.  
Ads in Makeup Artist Magazine.  
Ads in Utah Newspapers and Magazines.  
None of the above.

If "None" please indicate where you heard about us.    

Anything else you'd like to say? Stuff you want us to carry? Articles you want to see at this site. Etc..        

Enter Word:  

- Select to Send Message - Select to Clear Form

This page originally posted: 02/01/1999
This page last updated: