| 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:
| Thu,11-12-09, 6:30PM LLS- Wilton 372 Danbury Road Wilton,CT,06897
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| Thu,11-12-09, 6:30PM LLS Meriden 300 Research Parkway Meriden,CT,06450
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| Sat,11-14-09,10:00AM Danbury Public Library 170 Main Street Danbury,CT,06810
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| Tue,11-17-09, 6:30PM Centennial Inn 5 Spring Lane Farmington,CT,06032
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| Tue,11-17-09, 6:30PM Oliver Wolcott Library 160 South Street Litchfield,CT,06759
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| Wed,11-18-09, 6:30PM Guilford Community Center 32 Church Street Guilford,CT,06437
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| Thu,11-19-09, 6:30PM Avon Firehouse 25 Darling Drive Avon,CT,06001
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| Thu,11-19-09, 6:30PM Westport Public Library 20 Jesup Road Westport,CT,06880
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| Sat,11-21-09,10:00AM NIKE Store - West Farms Mall 1500 New Britain Avenue Farmington,CT,06032
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| Mon,11-23-09, 6:30PM Old Saybrook 366 Main Street Old Saybrook,CT,06475
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| Mon,11-23-09, 6:30PM Greenwich YWCA 259 East Putnam Avenue Greenwich,CT,06830
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| Tue,12-01-09, 1:00PM LLS Wilton Open House 372 Danbury Road Wilton,CT,06897
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| Tue,12-01-09, 1:00PM LLS Meriden Open House 300 Research Parkway Meriden,CT,06450
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| Wed,12-02-09, 6:30PM Fairfield Town Hall - Independence Hall 725 Old Post Road Fairfield,CT,06824
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| Wed,12-02-09, 6:30PM North Haven Public Library 17 Elm Street North Haven,CT,06473
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| Sat,12-05-09, 9:00AM Courtyard By Marriott Orange/New Haven 136 Marsh Hill Road Orange,CT,06477
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| Sat,12-05-09,10:00AM KICK OFF CELEBRATION Courtyard By Marriott 136 Marsh Road Orange,CT,06477
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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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| If you received our Direct Mail piece, please enter the two digit code above the mailing address If you received our Direct Mail piece, please enter the two digit code above the mailing address |
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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 |