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2006 Commute Challenge

Individual (Solo Team) Registration

Thank you for participating in the Group Health Commute Challenge. One rider at a time, we are making a big impact on the quality of life in the Puget Sound.

To successfully register a team you will need some basic information. It is important that you read all of the Important Team Registration Information!

Please DO NOT FILL OUT THIS FORM until you have read this information.

Email [email protected] if you have followed the instructions for registering but are getting an error message. Please include a copy of the error message.

Fields marked with * are required


Individual Information:
Individual Name *
Company Name or
Organization Name*
Department/Workplace
or Building or Branch
Organization Zipcode*
Total # of employees
in org or dept*
Password*
 
Your Personal Information:
First Name*
  M  
Last Name*
Work Address*
Address Line 2
City*
State*
Zipcode*
Email*
Daytime Phone*
Fax
Birthday* (MM/DD/YY)
Gender* Male Female
Cascade Member*
Yes No
New Commuter*
Yes No

To promote the interests of cyclists and cycling we occasionally share names with other organizations.
If you do not want your name shared please check here.  


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