| **Required Field |
| **Do you wish to receive/continue to receive a FREE subscription to Golf Course Industry? |
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| How do you wish to receive your issue? |
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| **Name: |
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| **Title: |
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| **Company: |
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| **Address: |
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| **City: |
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| **State: |
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| **ZIP: |
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| **Phone: |
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| Fax: |
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| **E-mail: |
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| **What is your primary business at this location? (please choose one) |
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| If "other," please describe: |
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| **Number of holes: (please choose one) |
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| **What best describes your title? |
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| If "other," please describe: |
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| **Total annual maintenance budget: (please choose one) |
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| Course renovation plans for the next 12 months: (please check all that apply) |
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| Is this course part of a: |
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| What turf do you maintain on fairways? |
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| If "other," please describe: |
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| What turf do you maintain on greens? |
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| If "other," please describe: |
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| Planned capital spending in the next 12 months: |
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| Mowing Equipment |
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| Irrigation System |
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| Remodeling/Renovation |
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| **For verification purposes, what is the date of the month you were born? |
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| Please list anyone who should also be receiving Golf Course Industry at your location |
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| Last name |
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| Title |
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