Email Marketing Prep. Form

Club Name:*
First Name:*
Last Name:*
Email Address:*
Main Membership:*
(Statuses, Membership Types, Categories or Dues Classes)
Please list all that would be considered your Main Membership base (i.e. all the Membership Types that would receive the Club Newsletter - Typically includes: Active, Spouse, Dependent, Social, etc.)
Excluded Membership Types/Statuses:
List the Membership Types or Statuses that you would like "EXCLUDED" from the system (i.e. Deceased, Internal Use, etc.)
Submit to: ClubHouse Online Implementation &
Security Code:*
 Security code