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Give us 2 minutes of your time and we'll give you info only about the things that
you're interested in. This survey will register you to participate in our eClub. We
regularly offer specials and golf promotions that are available only to registered members. All information is held in confidence and will only be used
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First Name		Last Name
eMail Address		Phone No.
Address		Zip Code
Create Password*		Re-Enter Password*
Membership Type		Interested in Mens Club
Interested in Junior Golf		Interested in League Play
Interested in Couples Events		Interested in Lessons
Interested in Tournaments		How far do you live from Briar Leaf?
Does your spouse or partner play golf?		Gender
Age Group		Players in Household
Rounds per Month		Birth Month
Birth Day		Average Score
Plan Tournaments		Play in Tournaments

* Indicates a required field.