1. Is your event booked at Mediterranean Manor?

Yes No

2. How many will be attending the showcase?

	Please Choose
	1 2 3 4 5 6

3. Your Contact Information

First Name:	(Bride)
Last Name:
First Name:	(Groom)
Last Name:
Address:
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
Email Address:
Phone Number:

4. Date (if you are not sure skip to the next)

Your Wedding Date

5. You don't know the date?

Maybe in	Season	Year
	select season summer fall winter spring	select year 2011 2012 2013 2014

6. How did you hear about Mediterranean Manor?

Radio Pennysaver Internet (Google, Yahoo, ect.) L.I. Bride To Be Clipper Mag. LI Weddings.com Television Wedding Sites & Services

Other (please specify)

7. Have you ever been a guest at the Mediterranean Manor?

Yes No

8. What type of event are you interested in hosting?

Wedding Sweet Sixteen Bar/Bat Mitzvah Quinceanera School Function Corporate Event

Holiday Party Other

Comments

 

Please have a banquet manager contact me.