| 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,12-09-09, 6:30PM Golden Valley The Leukemia & Lymphoma Society 8441 Wayzata Boulevard, #340 Golden Valley,MN,55426
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| Wed,01-13-10, 6:30PM Rochester Assisi Heights 1001 14th Street NW Rochester,MN,55901
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| Tue,01-19-10, 6:30PM Maple Grove Maple Grove Community Center 12951 Weaver Lake Road Maple Grove,MN,55369
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| Wed,01-20-10, 6:30PM Edina Edina Community Center 5701 Normandale Road Edina,MN,55424
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| Thu,01-21-10, 6:30PM St. Paul Linwood Recreation Center 860 St. Clair Avenue St. Paul,MN,55105
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| Thu,01-21-10, 6:30PM Shoreview Shoreview Community Center 4580 Victoria Street North Shoreview,MN,55126
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| Sat,01-23-10,10:00AM Hopkins Eisenhower Community Center 1001 State Highway 7 Hopkins,MN,55305
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| Tue,01-26-10, 6:30PM Eden Prairie St. Andrew Lutheran Church 13600 Technology Drive Eden Prairie,MN,55344
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| Wed,01-27-10, 6:30PM Bloomington REI 750 West American Boulevard Bloomington,MN,55420
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| Wed,01-27-10, 6:30PM Woodbury Bielenberg Sports Center 4125 Radio Drive Woodbury,MN,55129
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| Thu,01-28-10, 5:30PM Minneapolis - Downtown Millennium Hotel 1313 Nicollet Mall Minneapolis,MN,55403
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| Thu,01-28-10, 6:30PM Apple Valley Anchor Bank 14665 Galaxie Avenue Apple Valley,MN,55124
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| Sat,01-30-10,11:00AM Minneapolis - Uptown Walker Library 2880 Hennepin Avenue South Minneapolis,MN,55408
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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 |