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 $10.00.

Our address is:
9751 Irvine Center Drive, Irvine, CA 92618
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 Bridal For The Bride Modern Bride