Account Profile Company Information Type of Business (Choose One)
Corporation
LLC
Proprietorship
Partnership
Type of Facility (Choose One)
Public
Private
Semi-Private
Date
Tax ID #
Account Name
Phone #
Ambassador? If “Yes” please enter name
Custom Fitter
Practice Facility State of Corp
Fax #
Willing to let golfers from other facilities participate in demo day, etc?
Contact #1 First & Last Name
Title
Phone #
Email Address
Comments
Contact #2 First & Last Name
Title
Phone #
Email Address
Comments
Contact #2 First & Last Name
Title
Phone #
Email Address
Off-Course Retailer Fed ID #
Account Address
Yes
Comments
Resort
No