Saucon Valley Country Club
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Information Requested
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Please Identify Your Area of Interest:
(select all that apply)
 Fly Fishing
 Social and Dining

How did you hear about Saucon Valley Country Club?
Do you currently belong to a club?  Yes  No
If you selected yes, please list your current club(s):

Please list any members with whom you are acquainted.

If you select "yes" what is your Date of Birth?

Do you have a parent or grandparent who is a member/former member of the club?  Yes  No

If you selected "yes", what is the member's name?
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