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* Please enter your contact information including your full name, email address and phone number.

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Are you over the age of 18? (To become a subcommittee member, you must be 18 years of age or older)

Poll question: *Are you over the age of 18? (To become a subcommittee member, you must be 18 years of age or older)*. Select one option.
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Select a response

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I am interested in. (Select all that apply)

Poll question: *I am interested in. (Select all that apply)*. Select one or more options.
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What type of bike do you use, if any? (Select all that apply)

Poll question: *What type of bike do you use, if any? (Select all that apply)*. Select one or more options.
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Please indicate your bicycling skill level.

Poll question: *Please indicate your bicycling skill level.*. Select one option.
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What is your current occupation? (optional)

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Are you a local business owner?

Poll question: *Are you a local business owner?*. Select one option.
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Organization/Company Name

Enter N/A if not applicable

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Are you interested in partnering or sponsoring local events?

Poll question: *Are you interested in partnering or sponsoring local events?* . Select one option.
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How did you hear about the Connect RC Bicycle Subcommittee? (Select all that apply)

Poll question: *How did you hear about the Connect RC Bicycle Subcommittee? (Select all that apply)* . Select one or more options.
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* In case of an emergency, please provide the name and phone number of your emergency contact.