MCC ATTENDEE SURVEY

Please fill out this form so that we have your correct information and preferences. Thank you!

Name*
First Last
What is the name you would like on your certificate?*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
What is your Chinese zodiac sign?*
What is your meal preferance?*
What is your wine preference?*
Would you like to include your name and contact details on an attendee list to be shared with all attendees?*
What is your feng shui level of experience?*
What is the main reason you signed up?*
Do you have a website?*