Ellington Ridge Country Club

2010 Membership Information Survey
Please complete and submit by February 27, 2009
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Your e-mail address: Please enter your email address
(IT IS REQUIRED FOR SURVEY TO BE SENT)

Dear Member,

We are in the process of updating our files for both the Club and the new Membership Directory. We appreciate your help in this update by completing the brief survey below.

Use the TAB key on your keyboard to move from item to item.

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Member Name
Spouse Name
Member Number
Member Birthdate (Needed to determine junior and senior status)

Member's Home Address

Number & Street
City
State Zip

E-mail 1
E-mail 2

Please check here if you would prefer NOT to have your e-mail included in the 2009 Membership booklet.

Contact Information

Home Phone

Cell Phone

Home Fax

 

Member Business Information

Business Name
Business Address
Phone
Fax

Spouse Business Information

Business Name
Business Address
Phone
Fax

In addition to the home phone number, we would like to include an additional contact number for you in the member booklet.  Please indicate your preference by checking one of the choices at the right.

Children

Name Birthday
Name Birthday
Name Birthday
Name Birthday

Who will be the Primary player this year?


Would you like a printed copy of the Member Book this year? Yes, I would like a Printed Member Book

A easy to search, read and print PDF copy of the Member Book is available on the ERCC Website, Member Only Section.

 

Where would you like the monthly statement and club informational mailings sent this year?

Home Office
Please check this box if this is a change
from your 2009 instructions?

ERCC is returning, in 2010, to the postal mailing of monthly club calendars, event flyers and other news to help assure the broadest possible awareness of club events. These materials will continue to be available on the club website at www.ellingtonridge.org.. 

If you prefer to NOT receive these materials by postal mail, please click below.

I will access the monthly calendar, Ridge Reporter and event flyers from the ERCC website. Please do not send them to my via U. S. Mail.

Thank you for taking the time to complete this survey.

Click the Submit button below to send your information.


Please click "Send My Survey" once and wait for the confirmation screen.