Register as Lady Captain Question Title * 1. About You... Title: First Name: Last Name: Question Title * 2. Address House Name or Number: Street: Town: County: Postcode: Question Title * 3. Are you Lady Captain for 2019, 2020 or 2021? 2020 2021 2022 2020-21 (two year term) Question Title * 4. I would like a brochure Main gifts brochure Lady Captain 2020 brochure No thanks Question Title * 5. Email Address: Question Title * 6. Would you like to be added to our physical store database to receive specific offers and information on it specifically- it is in Hemel Hempstead, Hertfordshire - north of London? Yes No Question Title * 7. What club will you become Lady Captain of? Question Title * 8. What county is your golf club situated in? Question Title * 9. How many lady members does your golf club have? 0 300 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. When does your term start? DD/MM/YYYY Date Question Title * 11. When is your Lady Captains Day? DD/MM/YYYY Date Question Title * 12. How did you hear about Surprizeshop? Question Title * 13. By completing this form you are asking to be added to our list and will be sent emails and brochures from Surprizeshop. If this is not your intention and you do not wish to receive these from us please abandon this form and do not press done. Done
