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1. Please enter your contact information below.

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3. What type of riding do you do? (Select all that apply.)

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4. On average, how many hours per week do you currently ride?

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5. Do you currently use a bicycle for transportation? If yes, explain how.

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6. Have you participated in any BikeUCI events/programs?

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7. In 250 words or less, tell us why you would be a great BikeUCI Ambassador. Information from this section may be used to highlight you as an Ambassador.

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8. How would you inspire someone to start biking?

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9. Please use the text box below to tell us anything else you'd like us to know about yourself.

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11. Please upload a photo of you and your bike. The photo will be used in various marketing materials including websites, advertisements, flyers, etc. to promote BikeUCI Ambassadors.

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