Bike to Work Employer Registration 2011 1. Bike to Work Week - Commuter Challenge Workplace Registration Question Title * 1. Business Name Question Title * 2. Business Information Mailing Address Website Number of Employees Type of Industry Question Title * 3. Main contact person for Bike to Work Week 2011 Name e-mail Mailing Address (if different than above) Phone Question Title * 4. Which of the following are you planning to do to encourage employee participation in Bike to Work Week 2011? Hang posters Send out announcements Include information in employee newsletter Ensure secure bicycle parking Host an event (eg. bagels and juice, etc.) Offer prizes or incentives Other (please specify) Question Title * 5. Why is your company interested in participating in Bike to Work Week? Question Title * 6. Additional Comments or Information: Done