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One Day Trial Membership Application
One Day Trial Membership
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Enter Email
Confirm Email
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Additional Guests
Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Name
First
Last
Date
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Name
First
Last
Date of Birth
MM slash DD slash YYYY
Trial Memberships are available August 22- October 1, 2022
Preferred Tour DAY
(Required)
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Tour TIME
(Required)
11AM
2PM
3PM
4PM
Please list 2 preferred dates for your tour (must request at least 3 days in advance)
(Required)
How did you find out about Mandalay Farms Trial Membership?
(Required)
Received brochure in mail
Received email/text
Friend
Employee
Television
Mandalay Farms website
Owner, Karin Taylor
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