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* 1. If offered, would you be interested in free virtual programming at the Valerie Theatre?

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* 2. Which of the following virtual events interests you? (Check all that apply)

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* 3. Have you attended events at the Valerie Theatre in the past?

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* 4. Location:  What city do you live in?

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* 5. Are you or anyone you know interested in hosting an event at the Valerie Theatre?

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* 6. If your answer is YES, please select the type of event.

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* 7. If you would like someone to contact you about hosting an event at the Valerie Theatre please provide your contact information:

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* 8. Age: What is your age?

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* 9. Employment Status: Are you currently…?

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* 10. Marital Status: What is your marital status?

0 of 10 answered
 

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