| *First Name: |
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| *Last Name: |
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| *Email Address: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| *Day Time Phone: |
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| How did you hear about us: |
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| How far is Oak Creek Club from your: |
Home Miles
Work Miles |
| Where do you normally play golf? |
Daily Fee Courses
I belong to another Private Club (Name of Club) |
| How Often to you play golf? |
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| Are you married? |
Yes No |
| If so, does your spouse play golf? |
Yes No Would like to learn |
| Do you have children under 22 that play golf? |
Yes No Would like to learn |
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