| First Name * First Name |
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| Last Name * Last Name |
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| Address Address |
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| City City |
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| Zip/Postal Code Zip/Postal Code |
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| Telephone Contact Telephone Contact |
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| Email * Email |
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| I DO NOT wish to be contacted regarding TNT Alumni activities. I DO NOT wish to be contacted regarding TNT Alumni activities. |
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| If you have contact information for any other TNT alumnus from the DC area, please list his or her name, address, phone and email below. Thank you! If you have contact information for any other TNT alumnus from the DC area, please list his or her name, address, phone and email below. Thank you! |
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| How many TNT events have you successfully completed with the National Capital Area Chapter? * How many TNT events have you successfully completed with the National Capital Area Chapter? |
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| Year and TNT event Year and TNT event |
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| Sport Sport |
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| I was a? I was a? |
Fundraising Participant |
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Team Captain |
| Year and TNT event Year and TNT event |
|
| Sport Sport |
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| I was a? I was a? |
Fundraising Participant |
|
Team Captain |
| Year and TNT Event Year and TNT Event |
|
| Sport Sport |
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| I was a? I was a? |
Fundraising Participant |
|
Team Captain |
| Year and TNT event Year and TNT event |
|
| Sport Sport |
|
| I was a? I was a? |
Fundraising Participant |
|
Team Captain |
| Year and TNT Event Year and TNT Event |
|
| Sport Sport |
|
| I was a? I was a? |
Fundraising Participant |
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Team Captain |
| Please list any additional events completed with Team In Training. Please list any additional events completed with Team In Training. |
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| $1,000 - $4,999 $1,000 - $4,999 |
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| $5,000 - $9,999 $5,000 - $9,999 |
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| $10,000 - $24,999 $10,000 - $24,999 |
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| $25,000 - $49,999 $25,000 - $49,999 |
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| $50,000 - $74,999 $50,000 - $74,999 |
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| $75,000 - $99,999 $75,000 - $99,999 |
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| $100,000 - $124,999 $100,000 - $124,999 |
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| $125,000 + $125,000 + |
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