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
If you do not have a handicap/index
what is your average score?
Home Club
Membership Level
Annual ($119)
Lifetime ($500)
MasterCard or Visa
#
Payment Method*
Check
MasterCard
Visa
If you
would like to pay via check, please mail check made out to:
AGA or
AGA TOUR, 4999 Woodfall Drive, Lilburn, GA 30047
Expiration
Date
01
02
03
04
05
06
07
08
09
10
11
12 /
08
09
10
11
12
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
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
Which best describes your job
description?
Make Selection
Professional/Technical
Executive/Upper Management
Mid-Level Management
Sales
Business Owner/Self-Employed
Artistic/Literary
Clerical/Administrative
Crafts/Construction Trade/Foreman
Doctor/Physician
Farming/Forestry/Fishing
Military/Civilian Uniform
Services
Teacher
Retired
Homemaker
Student
Unemployed
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, or
requests
How did you hear about
the AGA/AGA TOUR?*