MOONLIGHT DESIGN, INC.

To receive a catalog, Please print this request form
and fill it out and send it with a check or money order payable to
Moonlight Design, Inc., in the amount of USD $5.00.

Our address is:
1400 Wilkening Rd., Schaumburg, IL 60173
Thank You!

First Name:		Last Name:
Street 1:
Street 2:
City:
State:		ZIP:
Country:		Phone:
E-Mail:
Wedding Date:	mm/yy

To help us serve you better, please fill out the survey below.
Thank You!

1. Age Of Bride
  18 and Under
  19-22
  23-28
  29-35
  36-42
  43-49
  50 and Above

2. Type Of Wedding
(Check all that apply)
  Formal
  Informal
  In church or synagogue
  Outdoor
  At home
  Banquet Hall

3. Wedding Gown Price Range
  Under $500
  $500 - $800
  $801 - $1000
  $1001 - $1200
  $1201 - $1500
  $1501 and Above

4. Type Of Gown
  Ball gown
  Sheath
  Mermaid
  Empire A-line
  Princess A-line
  Two-piece look

5. Fabric
  Chiffon
  Satin
  Lace (all lace)
  Organza
  Silk organza
  Silk satin
  Silk shantung
  Tulle
  Other _________________

6. Embellishment
  Plain dress
  Beads only (bugles or crystals)
  Pearls only
  Lace only
  Sequins only
  Pearls, sequins and lace

7. Neckline
  Bateau
  Halter
  High Neck
  Jewel
  Open/Off the schoulder
  Portrait
  Queen Anne
  Sabrina
  Scoop
  Spaghetti straps
  Square
  Strapless
  Sweetheart
  V neck

8. Waistline
  Asymmetrical
  Basque
  Dropped
  Empire
  Natural

9. Sleeves
  3/4 length
  Cap
  Long with fitted point
  Long without fitted point
  Short
  Pouf
  Sleeveless

10. Type Of Train
  No train
  Attached
  Detachable
  Short(sweep)
  Medium(court/chapel)
  Long(cathedral/Monarch)

11. Where Will You Purchase Your Gown?
  Full-service bridal salon
  Mail order
  Internet
  Discount store or warehouse
  Home operation
  Other ________________

12. Most Useful Magazine
  Bridal Guide
  Brides
  Elegant Brida
  For The Bride
  Modern Bride