| First Name * First Name |
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| Last Name * Last Name |
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| Address Line 1 * Address Line 1 |
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| Address Line 2 Address Line 2 |
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| City * City |
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| State/Province * State/Province |
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| Zip Code/Postal Code * Zip Code/Postal Code |
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| DayPhone * DayPhone |
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| Is this your * Is this your |
Home |
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Work |
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Cell |
| Evening Phone Evening Phone |
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| Is this your Is this your |
Home |
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Work |
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Cell |
| EMail * EMail |
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| How would you like to be contacted? How would you like to be contacted? |
Email |
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Day Phone |
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Evening Phone |
| Gender Gender |
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| I am interested in the following sport * I am interested in the following sport |
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| Select an information meeting to attend
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Meetings Available in your Area:
| Wed,01-13-10, 6:30PM
Binghamton, NY Summer FY2010
Binghamton Public Library
185 Court Street
Binghamton,NY,
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| Tue,01-19-10, 6:30PM
Ithaca, NY Summer FY2010
DeWitt Middle School
560 Warren Road
Ithaca,NY,
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| Wed,01-20-10, 6:30PM
DeWitt, NY Summer FY2010
DeWitt Town Hall
5400 Butternut Drive
DeWitt,NY,
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| Mon,01-25-10, 6:30PM
Liverpool, NY Summer FY2010
Liverpool Public Library
310 Tulip Street
Liverpool,NY,
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| Wed,01-27-10, 5:30PM
Cortland, NY Summer FY2010
St. Charles Hotel
83 Central Avenue
Cortland,NY,
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| Sat,01-30-10, 9:30AM
Syracuse, NY Summer FY2010
Rosamond Gifford Zoo
One Conservation Place
Syracuse,NY,
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| Select an event you are interested in Select an event you are interested in |
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| Are you planning on Bringing a friend? Are you planning on Bringing a friend? |
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| If yes, what is your friend's name? If yes, what is your friend's name? |
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If you received a mailing about Team In Training, please provide us with the following information from the mailing label:  |
| Participant Code (found in top left corner of mailing label) Participant Code (found in top left corner of mailing label) |
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| Source Code (found in top right corner of mailing label) Source Code (found in top right corner of mailing label) |
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| Are you a TNT Alumnus? Are you a TNT Alumnus? |
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| What was the primary way you heard about Team In Training? * What was the primary way you heard about Team In Training? |
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| If you heard about Team In Training through one of our corporate sponsors or partners, which company was it? |
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| I am an employee of this company's national team I am an employee of this company's national team |
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| I am interested in starting a Friends/Family/Corporate Team. I am interested in starting a Friends/Family/Corporate Team. |
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| Comments |
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| The Society respects your privacy |