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Members’ Committee Food and Beverage Survey

 

Please fill in the information below in order for us to identify you. You may leave this blank if you wish to remain anonymous.

Please fill in the information below in order for us to identify you. You may leave this blank if you wish to remain anonymous.   Title
1st Name
Surname
Membership Number
Email Address
Telephone Number

Are you Male or Female?

Are you Male or Female?   Female

Male

What is your age bracket?

What is your age bracket?   17 and Under 18 to 24 25 to 29

30 to 34 35 to 49 50 to 65

65 or Older Do not wish to say

What type of Membership do you have?

What type of Membership do you have?   Town

Country

Overseas

How long have you been a Member?

How long have you been a Member?   Less than 1 Year 1 to 2 Years

3 to 5 Years 6 to 10 Years

11 to 20 Years 20 Years or more