| Title |
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| First Name |
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| Surname |
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| Residential Address |
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| State |
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| Postcode |
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| Postal Address (leave blank if same as above) |
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| State |
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| Postcode |
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| Birthday |
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| Home Phone |
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| Mobile Phone |
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| Email |
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| Receive Promotion Mail-outs |
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| Receive Annual Report |
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| Questionaire |
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| How did you hear about us? |
Visited the club with a friend of family member |
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Saw your add in the South East Advertiser (Quest Newspaper) |
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White pages ad |
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Yellow pages ad |
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I Googled you! |
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Word of mouth |
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Was delivered Easts Leagues News (Our Newspaper) |
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| What convinced you to join? |
Low membership fee of $2 |
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Loved the look and atmosphere of the club |
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Quality of service provided by staff |
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Quality and price of food & beverages |
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Easts is my local! |
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Love the promotional giveaways and prizes |
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Family & Friends convinced me |
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| How often would you visit us? |
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| Do you like our new website and did you find it useful? |
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