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First Name
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Last Name
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Address
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City
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, State
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, and Zip
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In which city do you play
golf the most
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Champaign
Chicago
Davenport
Kansas City
Memphis
Mesa
Omaha
Ocala
Springfield, IL
Springfield, MO
St. Louis
Wichita
Phone Number:
Birthday (mm/dd/yyyy):
Gender:
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M
F
Email
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Password
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Rounds Per Year:
Select..
0--5
6--10
11--15
16--20
20--25
25+
Average 18-hole Score:
Select..
Under 72
72-80
80-90
90-100
100-110
110+
Preferred Golf Ball Brand:
Select..
Bridgestone
Callaway
Dunlop
Maxfli
Nike
Pinnacle
Precept
Slazenger
Srixon
TaylorMade
Titleist
Top-Flite
Volvik/Crystal
Wilson
Other
Preferred Iron Brand:
Select..
Adams
Ben Hogan
Bridgestone
Callaway
Cleveland
Cobra
Gear 4 Golf
MacGregor
Mizuno
Nickent
Nicklaus
Nike
Ping
Powerbuilt
Srixon
TaylorMade
Titleist
Tour Edge
Wilson
Other
Preferred Driver Brand:
Select..
Adams
Bobby Jones
Bridgestone
Callaway
Cleveland
Cobra
Gear 4 Golf
MacGregor
Mizuno
Nickent
Nicklaus
Nike
Ping
Powerbuilt
Srixon
TaylorMade
Titleist
Tour Edge
Wilson
Other
Preferred Putter Brand:
Select..
Adams
Bridgestone
Callaway/Odyssey
Cleveland
Cobra
Fisher
MGear 4 Golf
Guerin Rife
Heavy Putter
MacGregor
Mizuno/Bettinardi
Never Compromise
Nickent
Nicklaus
Nike
Ping
Powerbuilt
TaylorMade
Titleist/Scotty Cameron
Tour Edge
Wilson
Yes
Other
Preferred Shoe Brand:
Select..
Addidas
Bite
Callaway
Etonic
FootJoy
Hi-Tec
Nike
Oakley
Puma
Other
Preferred Shoe Size:
Select..
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12.5
13.5
14+
Preferred Clothing Brand:
Select..
Adidas
AM Player
Antigua
Ashworth
Byron Nelson
Callaway Clothing
Cutter and Buck
EP Pro
Footjoy
Greg Norman
Greg Peters
Izod
Mizuno
Monterey Club
Nicklaus
Nike
Ping
Puma
Sun Ice
Under Armour
other
Preferred Golf Bag Brand:
Select..
Adams
Bag Boy
Bennington
Burton
Callaway
Cleveland
Cobra
Datrek
Gear 4 Golf
Mizuno
Nickent
Nicklaus
Nike
Ogio
Ping
Sun Mountain
TaylorMade
Titleist
Wilson
Other
Do you take golf vacations:
Select..
Yes
No
Left Handed/Right Handed Golfer:
Select..
Right Handed
Left Handed
Interested in Junior Golf Programs:
Select..
Yes
No
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