Survey Questionnaire
Mail or e-mail to: Atcho Nagrampa Margallo
46433 Esterbrook Circle, Potomac Falls, VA 20165
MMargallo@aol.com
Deadline: (asap)
Family Name ____________________________Middle Name ____________________¬¬¬__ ¬¬
First Name ______________________________Nickname __________________________
Address ________________________________ E-mail _____________________________
Telephone Number _____________________ Cell ________________________________
No. of Guests: _______________________________________________________________
1. Are you planning to attend? _______________________________________
2. What is your barrio of origin in Iriga? ______________________________
3. Can you support certain community services/projects Magbinaydan intends to provide to Iriga? Please Indicate below:
3a. Surgical & Dental Mission ___________________¬-__________________
3b. Tree Planting ________________________________________________
3c. Donation of old clothes for the poor through the Parish______________
3d. Donation of old and new books for the city library__________________
4. Are you interested in placing personal/ business ads for our souvenir program?_______________________________________________________
Join the Magbinaydan E-mail Group
About Me
Celebrating With Our Roots.
This is a collaborative space where you can read and write stuff, share your comments, feedbacks and suggestions on an on-going basis regarding the Magbinaydan 2011.
We invite you to share your thoughts, post text, news, photos and videos for the Magbinaydan.
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