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First Name
Last Name
Address
City
State
Zip
Phone
Email
Are You A Member of a Local Course/Club?
Yes
No
If Yes, Name of Course/Club:
Handicap or Average 18 Hole Score
Average Number of Rounds:
1 or less round per month
2 rounds per month
3 rounds per month
4 rounds per month
5 rounds per month
6 rounds per month
7 rounds per month
8 rounds per month
9 rounds per month
10 or more rounds per month
When do you normally golf?
Weekdays
Weekends
Both Weekdays and Weekends
Do you play in tournaments?
Yes
No
Would you be interested in serving on the planning committee for IMGA?
Yes
No
Comments:
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