| 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:
| Ventura County |
| Tue,02-09-10, 3:30PM 2010 Thousand Oaks Bent On Coffee 140 W. Hillcrest Drive., Ste. 121 Thousand Oaks,CA,91360
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| Wed,02-10-10, 3:30PM 2010 Ventura The Coffee Bean & Tea Leaf 4360 E. Main St., Ste. E Ventura,CA,93003
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| Greater LA |
| Tue,02-09-10,10:00AM SU+ Santa Monica Coffee Time FY2010 The Coffee Bean & Tea Leaf 1312 Third Street Promenade Santa Monica,CA,90401
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| Wed,02-10-10, 3:00PM +SU Pasadena 2/10 Coffee FY2010 Coffee Bean & Tea Leaf 18 S. Fair Oaks Pasadena,CA,
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| Sat,02-13-10,10:30AM +SU Long Beach FY2010 Sipology 448 East Broadway Long Beach,CA,
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| Tue,02-16-10, 4:00PM +SU Pasadena 2/16 Coffee FY2010 Coffee Bean & Tea Leaf 18 S. Fair Oaks Pasadena,CA,
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| Wed,02-17-10, 4:00PM +SU El Segundo 2/17 Coffee FY2010 Starbucks 2231 Rosecrans Ave. El Segundo,CA,
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| Thu,02-18-10, 4:00PM +SU Encino 2/18 Coffee FY2010 Coffee Bean & Tea Leaf 16101 Ventura Blvd., Ste. 180 Encino,CA,
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| Tue,02-09-10, 4:00PM +SU Los Feliz 2/9 Coffee FY2010 Coffee Bean & Tea Leaf 2081 Hillhurst Ave. Los Angeles,CA,90027
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| Thu,02-11-10, 4:00PM +SU Long Beach 2/11 Coffee FY2010 Starbucks 5251 E. 2nd Street Long Beach,CA,
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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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| Did you receive a brochure from Team In Training in the mail? * Did you receive a brochure from Team In Training in the mail? |
Yes |
| * |
No |
| If yes, please enter the 4- or 5-digit source code located above your name on the brochure. If no, please enter 00. * If yes, please enter the 4- or 5-digit source code located above your name on the brochure. If no, please enter 00. |
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| I cannot attend an information meeting, but please have someone: I cannot attend an information meeting, but please have someone: |
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| Contact Me Contact Me |
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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 |