ATTENTION: WilmerHale employees please click here to register in both the Workout to Work program and WilmerHale's EcoFit Promotion.
First Name
Last Name
Home Address
City
State
Zip
Employer's Name
Work Address
Daytime Phone Number
Email Address
I prefer mailings to be sent to me via: Email Home Address Work Address
I plan to: Walk to Work Bike to Work Other (Jog, Rollerblade) please specify
I am a: Beginner (never walked/biked to work before) Intermediate (have done it once or twice but not on a regular basis) Pro (have been biking or walking to work for several years)
Estimated round trip miles of your commute (the portion you will be walking or biking)
I normally commute via: Transit Driving Alone Walking Biking Carpool Vanpool Other (Please Specify)
To be entered in ABC TMA's Spring Workout to Work promotion ending May 30, 2009; all new participants are eligible to win one of five $25 REI gift cards.
In addition, one $25.00 REI gift certificate will be raffled off to current participants who successfully encourage new registrations. New registrants must report their referrer to TMA Programs Manager, Dorothy Fennell by email (dfennell@abettercity.org) for the current member to be entered into the drawing. And, current member’s chances for winning increase with each person that list them as a reference.