* 1. What is your first name?

* 2. What is your last name?

* 3. Please list the full names of each guest who will be attending with you.

* 4. What is your email address? Your email address will ONLY be used to send an email confirmation about the event with directions and parking information. We will not share your email address.

* 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 6. How did you hear about The Earthquake Preparedness Open House?