| First Name * First Name |
|
| Last Name * Last Name |
|
| Address Line 1 * Address Line 1 |
|
| Address Line 2 Address Line 2 |
|
| City * City |
|
| State/Province * State/Province |
|
| Zip Code/Postal Code * Zip Code/Postal Code |
|
| DayPhone * DayPhone |
|
| Is this your * Is this your |
Home |
|
Work |
|
Cell |
| Evening Phone Evening Phone |
|
| Is this your Is this your |
Home |
|
Work |
|
Cell |
| EMail * EMail |
|
| How would you like to be contacted? How would you like to be contacted? |
Email |
|
Day Phone |
|
Evening Phone |
| Gender Gender |
|
| I am interested in the following sport * I am interested in the following sport |
|
| Select an information meeting to attend
|
Meetings Available in your Area:
| Tulsa |
| Wed,01-06-10, 6:00PM Runner's World FY2010 Runner's World 4329 S. Peoria Tulsa,OK,
|
| Thu,01-07-10, 6:00PM Camille's Sidewalk Cafe' FY2010 Camille's Sidewalk Cafe' 9637 Riverside Tulsa,OK,
|
| Tue,01-12-10, 6:00PM YWCA FY2010 YWCA 1910 S. Lewis Tulsa,OK,
|
| Wed,01-13-10, 6:00PM Panera Bread FY2010 Panera Bread 71st & Garnett Tulsa,OK,
|
| Thu,01-21-10, 6:00PM Hideaway Pizza FY2010 Hideaway Pizza 8222 E. 103rd Tulsa,OK,
|
| Oklahoma City |
| Thu,01-07-10, 6:00PM Belle Isle Library FY2010 Belle Isle Library 5501 N. Villa Oklahoma City,OK,
|
| Tue,01-12-10, 6:00PM Ruth's Sweete Justice Bakery FY2010 Ruth's Sweete Justice Bakery 7602 N. May Ave. Oklahoma City,OK,
|
| Wed,01-13-10, 6:00PM Panera Bread FY2010 Panera Bread 10600 S. Pennsylvania Oklahoma City,OK,73170
|
| Tue,01-19-10,12:00PM Hideaway Pizza FY2010 Hideaway Pizza 6616 N. Western Oklahoma City,OK,
|
| Wed,01-20-10, 6:00PM On The Border FY2010 On The Border 3500 NW Expressway Oklahoma City,OK,
|
| Sat,01-23-10, 9:30AM Leukemia & Lymphoma Society FY2010 Summer 10 - Leukemia & Lymphoma Society 500 N. Broadway Oklahoma City,OK,73102
|
| Norman |
| Thu,01-14-10, 7:00PM OK Runner Norman FY2010 OK Runner Norman 3720 W. Robinson Norman,OK,
|
| Edmond |
| Tue,01-19-10, 7:00PM OK Runner Edmond FY2010 OK Runner Edmond 3209 S. Broadway Edmond,OK,
|
|
|
|
| Select an event you are interested in Select an event you are interested in |
|
| Are you planning on Bringing a friend? Are you planning on Bringing a friend? |
|
| If yes, what is your friend's name? If yes, what is your friend's name? |
|
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) |
|
| Source Code (found in top right corner of mailing label) Source Code (found in top right corner of mailing label) |
|
| Are you a TNT Alumnus? Are you a TNT Alumnus? |
|
| What was the primary way you heard about Team In Training? * What was the primary way you heard about Team In Training? |
|
| If you heard about Team In Training through one of our corporate sponsors or partners, which company was it? |
|
| I am an employee of this company's national team I am an employee of this company's national team |
|
| How do you prefer to be contacted? * How do you prefer to be contacted? |
Telephone |
| * |
E-Mail |
| * |
Either way is fine |
| Did you receive a brochure for Team In Training in the mail? Did you receive a brochure for Team In Training in the mail? |
yes |
|
no |
| If so, what is the 2-digit code above your name? If so, what is the 2-digit code above your name? |
|
| I am interested in starting a Friends/Family/Corporate Team. I am interested in starting a Friends/Family/Corporate Team. |
|
| Comments |
|
| The Society respects your privacy |