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Information Request Form


First Name
Last Name
Address
City
State/Prov
Zip/Postal Code
E-mail
Home Phone
Work Phone
I would like more information on the following (Check all that apply)..	Golf Instruction / Learning Centers held February thru November Ladies Golfari Youth Golfari in July Mid Pines Couples Carousel in April Big Band Weekend in October Pine Needles Couples Jamboree in November Thanksgiving Turkey Tradition Holiday Packages Special Offers Golf & Social Packages / Rate Schedule Other
If other (please specify)
Ladies Golfari choices if checked above.
I am planning on visiting in:	Summer Fall Winter Spring
How did you hear about Pine Needles & Mid Pines?

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Great Rates for Winter Meeting Dates!
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Parent-Child Invitational
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Mid Pines Couples Carousel
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Couples Jamboree Final Results
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Hickory Open Final Results
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Hotel Accommodations during the US Women's Open Championship
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Confirmation Letter Attachments
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In the News
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Information Request Form


First Name
Last Name
Address
City
State/Prov
Zip/Postal Code
E-mail
Home Phone
Work Phone
I would like more information on the following (Check all that apply)..	Golf Instruction / Learning Centers held February thru November Ladies Golfari Youth Golfari in July Mid Pines Couples Carousel in April Big Band Weekend in October Pine Needles Couples Jamboree in November Thanksgiving Turkey Tradition Holiday Packages Special Offers Golf & Social Packages / Rate Schedule Other
If other (please specify)
Ladies Golfari choices if checked above.
I am planning on visiting in:	Summer Fall Winter Spring
How did you hear about Pine Needles & Mid Pines?

Pine Needles Lodge & Golf Club • P.O. Box 88 • 1005 Midland Rd. Southern Pines, NC 28387 • PH (910)692-7111
Mid Pines Inn & Golf Club • 1010 Midland Rd. Southern Pines, NC 28387 • PH (910)692-2114

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