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Personal Information:
*First Name:
*Last Name:
Gender:
Select One
Female
Male
*Email Type:
Personal
Business
*Email:
Address Information:
*Address Type:
Business Address
Seasonal Residence
Home Address
*Street 1:
Street 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country (Addr):
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United States of America
Canada
Anguilla
Antigua
Argentina
Aruba
Australia
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Malaysia
Martinique
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Netherlands
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Nevis
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Norway
Oman
Panama
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Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
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St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
San Marino
Saudi Arabia
Singapore
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Thailand
Togo
Trinidad & Tobago
Tunisia
Turkey
United Arab Emirates
United Kingdom
US Virgin Islands
Uruguay
Venezuela
Vietnam
Yugoslavia
Zambia
Zanzibar
Zimbabwe
Other
Phone Number Information:
*Phone Number Type(s):
Primary Business Number
Mobile Number
Residential Number
*Area Code:
*Phone Number:
Extension:
*Country (Phone):
Select One
United States of America
Canada
Anguilla
Antigua
Argentina
Aruba
Australia
Austria
Bahamas
Bahrain
Barbados
Belgium
Belize
Bermuda
Bolivia
Botswana
Brazil
British Virgin Islands
Brunei
Cambodia
Cape Verde Islands
Cayman Islands
Chile
China
Colombia
Cook Islands
Costa Rica
Cyprus
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Falkland Islands
Fiji Islands
Finland
France
French Antilles
French Guiana
French Polynesia
Germany
Greece
Greenland
Grenada
Guam
Guatemala
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Kenya
Korea (North)
Korea (South)
Kuwait
Lebanon
Luxembourg
Macau
Madagascar
Malaysia
Martinique
Mexico
Micronesia
Monaco
Montserrat
Morocco
Netherlands
Netherlands Antilles
Nevis
New Zealand
Nicaragua
Norway
Oman
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
St. Kitts/Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Grenadines
San Marino
Saudi Arabia
Singapore
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Thailand
Togo
Trinidad & Tobago
Tunisia
Turkey
United Arab Emirates
United Kingdom
US Virgin Islands
Uruguay
Venezuela
Vietnam
Yugoslavia
Zambia
Zanzibar
Zimbabwe
Other
Golfer Information:
What do you typically score for 18 holes:
*How many times do you typically play per month:
What club(s) are you a member of:
*How far do you usually travel to play:
Select One
0-15 mins
16-30 mins
31-45 mins
46-60 mins
Over 60 mins
*How many times a year do you play at our club:
Select One
Never Have
1-5
6-10
11-20
Over 20
*Do you play in competitive tournaments
or club sponsored events:
Yes, I play in club sponsored events
Yes, I play in competitive tournaments
I play in both
I don't play in tournaments or events
Company Profile Outings:
*Company Name:
Job Title:
*Does your company hold golf outings:
Yes
No
Name of Outing Coordinator:
*Does your company hold off site meetings/events:
Yes
No
Event Profile:
What date were you considering for your event:
Clear Field
*How many days will your event run for:
*How many participants / attendees (approx):
*What types of events are you considering in the
next 12 months:
Golf Outings
Meetings
Wedding
Other
*Have you ever held an event at our facilities before:
Yes
No
*Are you the decision maker for your next event:
Yes
No
*How would you like us to contact you:
Phone
Email
Comments:
Comments:
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