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Request Private Quarters Information
Personal Information:
*First Name:
*Last Name:
*Gender:
*Email Type:
 Personal  Business
*Email:
Address Information:
*Address Type:
 Business Address  Seasonal Residence  Home Address
*Street 1:
  Street 2:
*City:
*State / Province:
*Zip / Postal Code:
 
*Country (Addr):
Phone Number Information:
*Phone Number Type(s):
 Primary Business Number  Mobile Number  Residential Number
*Area Code:
*Phone Number:
  Extension:
*Country (Phone):
Survey:
*Does your spouse/partner play golf:
 Yes  No
*Approximately how far do you live from
Porto Cima:
  Other golf vacation destinations:
*Age Category:
*Annual household income:
*How many times a month do you play golf:
*How much do you typically pay for a round of golf:
*Are you presently a member at another club:
*Have you ever been a member of a club:
 Yes  No
  If yes, which club:
*Are you interested in becoming a member of our Golf Club:
 Yes  No
*Have you been here before:
 Yes  No
*What days of the week do you
like to play golf:
 Monday  Tuesday
 Wednesday  Thursday
 Friday  Saturday
 Sunday  
*Do you normally play as a_:
*How many lessons do you take a year:
*What is the Number One factor that influences your
decision to play golf at a club:
*What is the Number Two factor that influences your
decision to play golf at a club:
*What is the Number Three factor that influences your
decision to play golf at a club:
  Other Factors:
Comments:
  Comments:
 
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