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First Name

Last Name

Email Address

Main Phone Number

Alternative Phone Number

Gender Gender Female Male

Membership Type Membership Type Adult Associate (Golf SK member elsewhere)

Were you a member last year? Were you a member last year? Yes No

Do you agree to have the Club send emails regarding club-related information? Do you agree to have the Club send emails regarding club-related information? Yes No

Street Address

City

Province ProvinceSK

Postal Code