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State	Please Select Victoria New South Wales Queensland South Australia Western Australia Northern Territory ACT Tasmania
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State	Please Select Victoria New South Wales Queensland South Australia Western Australia Northern Territory ACT Tasmania
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Birthday	Date 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
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Receive Promotion Mail-outs	Please Select Yes No
Receive Annual Report	Please Select Yes No
Questionaire
How often do you visit us?	Please Select Once every 3 months Once a month Couple of times a month Once a week 2 – 4 times a week 4 – 6 times a week I’m moving in! Hardly ever
Do you like our new website and did you find it useful?	Please Select Yes looks great and very informative Looks Good and nearly answered all my questions It was ok. Could be better Not really and it needs more details No not at all
How do you rate our Food & Beverage offers?	Please Select Excellent value for money Good value for money Average value for money Poor value for money I never eat there!
How do you enjoy our promotions?	Outstanding. I register for every draw!
	Good. But I don't come for all of them.
	Average. I might come to some.
	Poor. I've seen better promotions at other clubs.
	Awful. Prizes are no good nor are the chances of winning.
As a member what prizes would you prefer to win?	Cash all the way!
	Mixture of cash and other prizes
	Electrical goods
	Petrol vouchers
	Cars
	Other - Please Specify