TD Five Boro Bike Tour Team Teal Application

TD Five Boro Bike Tour Team Teal Application
Apply to Join the 2019 TD Five Boro Bike Tour on May 5, 2019! We will be selecting ten cyclists who will receive guaranteed entry to join our NOCC Team Teal for this exciting race. Funds raised will help to support the NOCC's vital earlier awareness, research, and support programs. Each rider who is selected as part of our Team Teal is required to raise a minimum of $850, due in full by 5/2/19. All participants will be asked to sign a fundraising agreement and provide credit card information; your card will only be charged for any leftover balance if you do not meet your fundraising obligation. A $75 Team Teal registration fee will be put towards your fundraising commitment. Please submit the complete application below no later than 2/28/19. We will accept applications on a rolling basis and will contact you soon with a response. For any additional information, please contact Kitty Silverman at newyorkny@ovarian.org. Thank you so much for your interest in cycling with the NOCC's Team Teal!
I accept the above application deadlines. *

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Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Date of Birth *
How did you hear about the NOCC's Team Teal charity team? *
What makes you a good candidate to ride as part of the NOCC Team Teal? *
For your personal fundraising goal, what total goal would you like to set? ($850 is the required minimum). *
Which fundraising methods do you anticipate using to reach your $850 goal? *
Are you willing to do media for the event if asked? *

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