Mailchimp Survey

Your First & Last Name

*

Your E-mail Address:

*

What topics would you like to discuss at our event?

How will you attend?

*

In-personVirtually - We will e-mail a link to the event. Scroll & submit!

If attending in person, will friends or family attend with you?

YesNo

If yes, please list the first and last name(s) of your guests:

Which breakfast tacos do you (and your guests) prefer? Please select all that apply:

If you or any of your guests have food allergies, please let us know. Be sure to include the name of the guest. Thank you!