| 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:
| Tue,01-12-10, 6:30PM Irvine Katie Wheeler Library 13109 Old Myford Road Irvine,CA,92602
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| Wed,01-13-10, 6:30PM Brea Brea Community Center 695 E. Madison Way Brea,CA,92821
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| Wed,01-13-10, 6:30PM Rancho Cucamonga Lion's Center East - San Antonio Room 9161 Baseline Road Rancho Cucamonga,CA,91730
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| Thu,01-14-10, 6:30PM Temecula Temecula Community Recreation Center 30875 Rancho Vista Road Temecula,CA,92592
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| Thu,01-14-10, 6:30PM Huntington Beach Huntington Beach Central Library 7111 Talbert Avenue Huntington Beach,CA,92648
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| Sat,01-16-10,10:30AM San Juan Capistrano San Juan Capistrano Recreation Center 25925 Camino Del Avion San Juan Capistrano,CA,92675
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| Sat,01-16-10,10:30AM Corona Corona Library 650 South Main Street Corona,CA,92882
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| Tue,01-19-10, 6:30PM Newport Beach Newport Coast Community Center 6401 San Joaquin Hills Road Newport Beach,CA,92657
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| Tue,01-19-10, 6:30PM Murrieta Murrieta Public Library Eight Town Square Murrieta,CA,92562
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| Wed,01-20-10, 6:30PM Aliso Viejo Aliso Viejo Library 1 Journey Aliso Viejo,CA,92656
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| Wed,01-20-10, 6:30PM Riverside Riverside Art Museum 3425 Mission Inn Avenue Riverside,CA,92501
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| Thu,01-21-10, 6:30PM Costa Mesa Costa Mesa Neighborhood Community Center 1845 Park Avenue Costa Mesa,CA,92627
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| Sat,01-23-10,10:30AM Redlands A.K. Smiley Library 125 West Vine Street Redlands,CA,92373
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| Sat,01-23-10,10:30AM Santa Ana The Leukemia & Lymphoma Society 2020 East 1st Street, #120 Santa Ana,CA,92705
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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 |