First Name *

Last Name

Email *

Phone

Single, couple or family? *

Single

Couple - no kids at home

Family - kids at home

What is your age range? *

What is the main reason you are a Citrus Club member? *

What is the best way to communicate with you? (Check all that apply) *

Email

Text

Voicemail

Newsletter

Would you be interested in taking classes on subjects such as Dancing, Cooking, Crafts, etc. *

Yes, and I have plenty of ideas, please reach out to me!

Yes, but I don't have any ideas right now.

No

What type of Business Networking events would you attend? (tick all that apply) *

Business Speed Networking

Business Expo

Business Lecture Series

I have other suggestions!

If you marked other ideas, what's on your mind?

What is your favorite evening event that you have attended at the Citrus Club? *

What type of future evening events would you like to see? *

Would you be interested in an away event in Orlando such as a group getting tickets to a Phillips Center event *

Yes, but I can't imagine what

Yes, and I may have ideas!

No

We're excited to hear where!

Are you (tick all that apply): *

The Designated Imbibist, I like to have an adult beverage or two at our events.

A teetotaler, I may share in a celebratory toast on occasion.

A Mock-Tailer, bring on the Pina Coloda's! Hold the rum...

As long as there's coffee, I'm in. There's coffee, right?

"Where there is tea, there is hope." - Arthur Wing Pinero

I stick with water!

Share with us your thoughts and comments on past events or possible future events. *

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