Email Address
(*)
First Name
(*)
Last Name
(*)
Address 1
Address 2
City
State
Zip
(*)
Phone
(*)
Have you been here before?
(*)
Yes
No
If Yes, would you return
Yes
No
Required
How many times a month do you play?
(*)
How did you hear about our contest?
(*)
Radio
Television Commercial
Web Search
Web Site
Would you like information on our VIP Frequent player plan?
(*)
Yes
No
Would you like information on golf lessons?
(*)
Yes
No
Would you like someone to contact you about being fitted for golf clubs?
(*)
Yes
No
Would you like information for a golf outing?
(*)
Yes
No
If yes, select how many people:
Less than 20
20-50
100 or more
Required
Would you like to be added to our email list?
Yes
No