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* 1. Surname

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* 2. First Name

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* 3. Age

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* 4. Golflink Number (If applicable) 

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* 5. What best describes your participation in golf?

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* 6. Type of Amputation or Limb Difference

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* 7. I would be interested to receive further information on Amputee specific tournament pathways

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* 8. Email Address

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