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* 1. About You...

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* 2. Address

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

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* 4. I would like a brochure

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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
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

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* 10. When is your Lady Captains Day?

DD/MM/YYYY

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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.

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