Register as Lady Captain

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* 1. About You...

Title:

First Name:

Last Name:

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* 2. Address

House Name or Number:

Street:

Town:

County:

Postcode:

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* 3. Are you Lady Captain for 2019, 2020 or 2021?

2019

2020

2021

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* 4. I would like a brochure

Main gifts brochure

Lady Captain 2020 brochure

No thanks

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* 5. Email Address:

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* 6. What club will you become Lady Captain of?

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* 7. What county is your golf club situated in?

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* 8. 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.

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* 9. When does your term start?

DD/MM/YYYY

Date

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* 10. When is your Lady Captains Day?

DD/MM/YYYY

Date

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* 11. How did you hear about Surprizeshop?

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* 12. 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.