1.   What is the zip code of your primary residence/home?
      Zip Code:    

2.   Including yourself, how many people are attending the Festival with you?

3.   Did you stay in a hotel or motel overnight in Salina?
       Yes      No
      If yes, for how many nights?

4.   What is your age?
       Younger than 18
       18 to 24
       25 to 34
       35 to 39
       40 to 44
       45 to 49
       50 to 54
       55 to 64
       65+

Name:     

E-mail:    

Smoky Hill River Festival wishes to keep in touch with you via e-mail about upcoming Festivals and Festival-Year-Round activities.
The Festival will not sell its e-mail list.

Thank you for your input!