| 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 |
|
| Select an information meeting to attend
|
Meetings Available in your Area:
| SF & Marin |
| SF-09:Wed,02-03-10, 6:30PM Presidio Sports Basement 610 Old Mason St., San FranciscoCA,
|
| Napa & Sonoma |
| SN-09:Tue,02-09-10, 6:30PM Club One 1201 Redwood Way, Petaluma
|
| Alameda & Contra Costa |
| EB-11:Tue,02-02-10, 6:30PM Walnut Creek Sports Basement 1881 Ygnacio Valley Road, Walnut CreekCA,
|
|
|
|
| What is your primary sport/activity interest? What is your primary sport/activity interest? |
|
| What is your secondary sport/activity interest? What is your secondary sport/activity interest? |
|
| How did you hear about Team In Training |
A newspaper or magazine? Please select the publication:A newspaper or magazine? Please select the publication: |
|
| A radio station? A radio station? |
|
| Other Online Source? Other Online Source? |
|
| Some other way? Some other way? |
|
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) |
|
| 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 |
|
| 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 |