| 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:
| Sat,02-06-10,11:00AM Summer FY10 - 2/6 - Finishline Physical Therapy FY2010 Finish Line Physical Therapy 119 West 23rd Street, 3rd Floor New York,NY,
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| Mon,02-08-10, 6:30PM Summer FY10 - 2/8 - Jack Rabbit FY2010 Jack Rabbit 14th Street Between 6th & 7th Ave New York,NY,
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| Tue,02-09-10, 7:00PM Summmer FY10 - 2/9 - he Leukemia & Lymphoma Sociey FY2010 The Leukemia And Lymphoma Society 475 Park Avenue South New York,NY,
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| Tue,02-09-10, 7:00PM Summer FY10 - 2/9 - Hilton Garden Inn FY2010 Hilton Garden 1100 South Avenue Staten Island,NY,
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| Wed,02-10-10, 7:00PM 151 7th Avenue Brooklyn,NY,11215
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| Thu,02-11-10, 6:30PM Summer FY10 - 2/11 - The Hill FY2010 The Hill Last Chance Meeting 416 3rd Avenue New York,NY,
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| Mon,02-15-10, 6:30PM Summer FY10 - 2/15 -The Leukemia & Lymphoma Societ FY2010 The Leukemia & Lymphoma Society 475 Park Avenue South, 8th Floor New York,NY,
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| Thu,02-18-10, 7:00PM Summer FY10 - 2/18 - Informational Happy Hour FY2010 Pop Burger Arrive Any Time 7pm - 9pm 14 East 58th Street New York,NY,
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| Thu,02-18-10, 7:00PM Summer FY10 - 2/18 - Dolphin Fitness FY2010 Dolphin Fitness 7001 Amboy Road Staten Island,NY,
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| Wed,02-24-10, 6:30PM Summer FY10 - 2/24 - New York Blood Center FY2010 New York Blood Center 310 East 67th Street New York,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 |