Who Wants to Be a Millionaire RSVP Survey

Thank you for your interest in being an audience member for Who Wants To Be a Millionaire?.

To complete your RSVP, please fill out the survey below.  Only completed surveys will be considered for audience membership.  If you are selected and you attend the show taping, your department will also be eligible for one of three $10,000 grants* awarded by Josh Cellars.  

The surveys will be evaluated by Josh Cellars and the NVFC and winners will be selected at Josh Cellars' sole and absolute discretion. Grant winners will be announced on the show. Grant winners and organizations are subject to verification of compliance with the Official Rules.

By completing and submitting this survey, you agree to the Official Rules, that all information provided is accurate and that you understand that you will be responsible for all travel, accommodations and expenses related to you and your guest.  You also agree that we may share this information with others in connection with the contest and audience fulfillment, including Valleycrest Productions, Ltd and On-Camera Audiences, Inc.

You will be notified by email if you are confirmed for the audience.  More information will be provided at that time.
 
Thank you for your interest, we hope to see you at the show!

Josh Cellars


* NVFC board members , Disney - ABC Television Network and Caesar's Entertainment staff are ineligible for the grants..
No product endorsement is being made by the National Volunteer Fire Council. 
JoshCellars.com Please Enjoy Responsibly. ©2016 Deutsch Family Wines & Spirits, Stamford, CT 06901. 

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* 1. First Name

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* 2. Last Name

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* 3. Your Title or Position

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* 4. Firehouse Name or Department

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* 5. Email

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* 6. Phone

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* 7. What year were you born? (You must be 21 or older)

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* 8. What is the name of your guest?

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* 9. How long have you been a first responder?

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* 10. Why did you choose to be a first responder?

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* 11. Please number in what areas your department needs funding, in order of priority, with 1 being top priority:

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* 12. If you listed "Other" please provide more detail on that category of funding.

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* 13. Please explain in detail why these needs are so critical to your department?

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* 14. Please describe why your department should receive this award, over another department?

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* 15. Please enter "NO" in this box if you DO NOT want to be considered for the grant and only want to attend the show.

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* 16. By answering yes to the next question, you agree that the information you provided above is accurate and that you understand you are responsible for all travel and hotel expenses.

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