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First Name *
Last Name *
Email *
Phone 1 *
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Birthday *mm/dd/yy
Tell us about your history with Buck's Barn
Have you ever been to Buck's Barn? *
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Have you ever eaten at Buck's Barn Restaurant? *
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Have you eaten at Buck's Barn Restaurant in the last 3 years? *
Yes No
Do you play golf? *
Yes No
Have you ever played golf at Buck's Barn? *
Yes No
Have you played golf at Buck's Barn in the last 3 years? *
Yes No
Have you done a Stay & Play Package at Buck's Barn? *
Yes No
Was it our All-Inclusive Package?
Yes No
Please keep me informed about:
Restaurant Specials *
Yes No
Tournaments (Scrambles, etc.) *
Yes No
Green Fee Specials *
Yes No
Entertainment (Concerts, Comedy, Etc.) *
Yes No
Senior Events *
Yes No
Couples Events *
Yes No
Golf Lessons and Clinics *
Yes No
Golf Leagues *
Yes No
Pro Shop Sales *
Yes No
Demo Days *
Yes No
Ladies Events *
Yes No
Junior Events *
Yes No
Stay and Play Specials *
Yes No
Stay & Play Golf Schools *
Yes No
Themed Weekends *
Yes No
Bean Bag Tournaments and Leagues (Yes, I'm serious) *
Yes No
Trivia Tournaments and Leagues *
Yes No
5020 Illinois Route 84 ~ Thomson, IL 61285 ~ (815) 259-8278


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