Cultural Activities Center: We Value Your Feedback
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1. Default Section
1
. What type of activities interest you? What age group?
What type of activities interest you? What age group?
Zumba
Yoga
Sewing
3D Art
Girl's Night Out
Toddler
Pre-Teen
Youth
Adult
Senior
Cooking Classes
Sign Language
Piano
Guitar
Gardening
Oil/Acrylic Art
Jewelry
Glass Fusing
Fitness
Lecture Series
Film Series
Other (please specify)
2
. Do you follow us on Facebook to receive updates, special offers and chances to win prizes?
Do you follow us on Facebook to receive updates, special offers and chances to win prizes?
Yes
No
3
. Are you currently a member of the CAC?
Are you currently a member of the CAC?
Yes
No
4
. Would you like to become a member of the CAC?
Would you like to become a member of the CAC?
Yes
No
Request More Information on Membership
*
5
. Please provide us your information if you wish to receive secure CAC E-Newsletters, promotion of events, or just for general CAC information.
Please provide us your information if you wish to receive secure CAC E-Newsletters, promotion of events, or just for general CAC information.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
Thank you for taking the time to complete this brief survey. Your opinion is valuable to the direction of the CAC. Have a Great Day.
Jane Boone
Marketing/Education Director
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