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* 1. Your Name

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* 2. Club Name

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* 3. Job Title

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* 4. Email and/or Phone #

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* 5. How long have you been a Club Insider reader?

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* 6. How did you find out about Club Insider?

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* 7. What do you like the most about Club Insider?

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* 8. What do you like the least about Club Insider?

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* 9. What would you like to see Club Insider change or improve?

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* 10. What other comments would you like to make about Club Insider?

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