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MAKETEWAH COUNTRY CLUB  New Member Registration  Fields marked with * are required! Account Information:   Name: Firstname * Middle Lastname *       Username: * Password: * Retype Password: Contact Information: Email Address: * Email Format: HTML (can see pictures and formatting) Plain Text (no pictures or fomatting) Exclude Email from all Group Mailings Web Site Address: Company/Organization: Job Title/Occupation: Address:   City: State/Province: Zip/Postal Code: Country: Business Phone: Home Phone:
			Maketewah Country Club Copyright, 2006
5401 Reading Road Cincinnati, Ohio 45237 Phone: 513.242.9200