Name*
Address Line 1*
Address Line 2
City*
State*
Zip Code*
Work Phone
Home Phone*
Cell Phone
Email
Address*
Date of Birth
USGA GHIN Number
A
valid USGA index is required
Last Index
If you do not
have a GHIN number, would you like the AGA TOUR to establish one for
you?
No
Yes
Handicapping is $40 Jan thru Dec
*You must have an index to participate in AGA TOUR events.*
If you have not yet established
your handicap/index what is your average score?
Home Club
Membership Level
New Member Single ($149)
Twosome ($100)
Foursome ($60)
Lifetime ($500)
Promotion
Already Paid
Promotion code:
Referral
Name: If you
have selected the Twosome or Foursome options, please indicate
who you are signing up with. They must also register and be new
members to the TOUR.
Friend 1
Friend 2
Friend 3
Payment Method*
MasterCard or Visa #
Expiration Date
Check
MasterCard
Visa
Already Paid
01
02
03
04
05
06
07
08
09
10
11
12 /
10
11
12
13
14
If you
would like to pay via check, please mail check made out to:
AGA TOUR
4999 Woodfall Drive
Lilburn, GA 30047
The goal of the next set of
questions is to assist us in understanding our outstanding
member's golf habits and employment status to better enable us
to continue to provide the best product we can. We would never
use or sell this information!! This type of information,
however, helps us in attracting and selling sponsorships, for as
in any businesses knowing your customer is very important.
These questions are optional, however, so if for any reason you
don't feel comfortable, either don't answer the question or
don't provide us any of this information at all.
How many total rounds of
golf do you play a year?
Make Selection
0-10
10-20 rounds
20-30 rounds
30-50 rounds
50-100 rounds
100-199 rounds
200+ rounds
Do you belong to one or
more private clubs?
Yes
No
Do you prefer
weekday or weekend events?
Make Selection
Weekend
Weekday
Either
What is your employment status?:
Select
Full Time Employed
Part-time employed
Self-employed
Not
working/Retired*
* If you answer 'Not working/Retired' please
disregard next set of questions.
Your Employer's Name:
How big is your company?
Make Selection
1 employee
2-10 employees
11-50 employees
51-100 employees
101-999 employees
1,000-4,999 employees
5,000+ employees
What Type of Business is your company in?
Make Selection
Services
Manufacturing
Retailing
Wholesaling
General
Not-For-Profit
Other
Which best describes your Industry
Segment?
Make Selection
Advertising
Agricultural
Automotive
Business Services
Computer/Electronic Equipment
Computer Software / Internet
Construction / Contracting
Consumer Products
Consulting
Education
Entertainment / Recreation
Financial
Food / Beverage / Restaurants
Government
(Federal/State/Local)
Healthcare / Medical
Insurance
Legal Services
Machinery / Equipment
Paper Products
Personal Services
Petroleum / Petrochemicals
Publishing / Printing / Media
Real Estate
Telecommunications / Utilities
Textiles / Apparel
Transportation
Travel / Hoteling / Hospitality
Trucking / Warehousing
General
Other
Which best describes your business title?
Make Selection
Chairman / Board Member
Partner / Owner
President / CEO / COO
CFO / Controller / Treasurer
CIO / CTO
EVP / SVP
VP / Assistant VP / Principal
General Manager
Director / Department Head
Manager / Senior Manager
Assistant Director / Assistant
Manager
Account Manager / Account
Director
Product Manager
Publisher / Producer
Supervisor
Associate / Senior Associate
Technician / Technical
Specialist
Developer / Programmer
Professional / Professional
Specialist
Doctor/Physician
Certified Public Accountant
Tradesman / Trade Specialist
Administrator
Other
If we are ever
asked by another member affiliated with the AGA about your
employment status, would you mind if your company
and/or position was revealed to them?Yes
No
Questions,
references, requests or promotion codes
How did you hear about the
AGA/AGA TOUR?