Family Medallion® Survey   
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We need you help in determining  how to inform brides and/or grooms with children about the Family Medallion presentation. 

Please assist us by completing this brief questionnaire letting us know how you first learned about the Family Medallion ceremony. By providing this information you will not only help us inform others about the Family Medallion, you will also receive a free copy of "Our Wedding Celebration" with your Family Medallion order (a $10.00 value). Our Wedding Celebration is a 12-page booklet containing a complete wedding ceremony. Additional suggestions for readings, prayers and ways to include family members are also included.

Please let us know how you first learned about the Family Medallion by checking the appropriate boxes.

A.  Publication, Wedding Officiant or Other

  

If other source of information please list  

B. Website

How did you hear about our website?

If other please list


Thank you very much for your participation. To receive a free copy of "Our Wedding Celebration". Please include your name and e-mail address here so that we may match it with your Family Medallion order.

Name that the order was placed under

E-mail address that the order was place under  

Clergy Services, Inc. does not sell, rent or lease your e-mail address.