| 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, 6:00PM Albany #1 FY2010 The Desmond 660 Albany-Shaker Rd. Albany,NY,12205
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| Wed,01-13-10, 6:00PM Glens Falls FY2010 Queensbury Hotel 88 Ridge St. Glens Falls,NY,
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| Wed,01-13-10, 6:00PM Kingston, NY FY2010 Quality Inn Rte 28 Kingston,NY,
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| Thu,01-14-10, 6:00PM Clifton Park FY2010 Comfort Suites 7 Northside Dr. Clifton Park,NY,
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| Tue,01-19-10, 6:00PM Poughkeepsie FY2010 Courtyard Marriott 2641 South Rd. Poughkeepsie,NY,
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| Wed,01-20-10, 6:00PM Plattsburgh FY2010 City Recreation Center 52 US Oval Plattsburgh,NY,
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| Wed,01-20-10, 6:00PM Saratoga Springs FY2010 YMCA 290 West Ave. Saratoga Springs,NY,
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| Thu,01-21-10, 6:00PM Essex Junction FY2010 Fleet Feet 76 Pearl St. Essex Jct.,VT,
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| Thu,01-21-10, 6:00PM Albany #2 FY2010 Holiday Inn 205 Wolf Rd. Albany,NY,12205
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| Sat,01-23-10,12:15PM Ludlow FY2010 Fletcher Memorial Library 88 Main St. Ludlow,VT,
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| Tue,01-26-10, 6:00PM Burlington FY2010 Sport Shoe Center 150 Dorset St. S. Burlington,VT,
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| Sat,01-30-10, 6:00PM Cap. Region Kick Off FY2010 Saratoga Spa State Park Warming Hut Saratoga Springs,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 would like to join the Society's Advocates Network to receive occasional Action Alerts via email I would like to join the Society's Advocates Network to receive occasional Action Alerts via email |
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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 |