TI Family TRI 2019 Survey

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address

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* 4. List your AID/XID. If you are not an employee, list N/A.

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* 5. Are you currently a Texins member?

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* 6. Are you registering as a Team or an Individual?

Team Name? and Team Member Names?

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* 7. Which activity will you be participating in?

Swim (300 yard - 6 laps)

Bike (5miles - Completed on Spin bike, must be 4'10)

Run (1 mile - Texins outdoor track)

All the above

Do you need help finding a partner for the other activity events?

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* 8. Registration fee is $20.00 for individual and $45.00 for a team.
TIers must pay registration fee through payroll deduction. (If you are not a TI employee, you can pay registration fee at Texins membership desk with a credit or debit card.)

Yes - $20 Individual Payroll Deduction (option for TI employees). By selecting this option you are authorizing Texins to proceed with the $20 payroll deduction charge

Yes - $45 Team Payroll Deduction (option for TI employees). By selecting this option you are authorizing Texins to proceed with the $45 payroll deduction charge

Yes - $20 Individual Credit Card (must pay within one week of registering at the Texins front desk or over the phone 214.567.3777 to reserve your spot).

Yes - $45 Credit Card (must pay within one week of registering at the Texins front desk or over the phone 214.567.3777 to reserve your spot).

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* 9. Event Time:

4:30 p.m.

Thank you for participating in the 2019 TI Family TRI, If you have any questions feel free to email gfonseca@ti.com.
We look forward to seeing you on May 2!

Confirmation will be sent out within 48hrs after registering

Question Title

* 1. First Name:

Question Title

* 2. Last Name:

Question Title

* 3. Email Address

Question Title

* 4. List your AID/XID. If you are not an employee, list N/A.

Question Title

* 5. Are you currently a Texins member?

Question Title

* 6. Are you registering as a Team or an Individual?

Question Title

* 7. Which activity will you be participating in?

Question Title

* 8. Registration fee is $20.00 for individual and $45.00 for a team. TIers must pay registration fee through payroll deduction. (If you are not a TI employee, you can pay registration fee at Texins membership desk with a credit or debit card.)

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* 9. Event Time:

* 8. Registration fee is $20.00 for individual and $45.00 for a team.
TIers must pay registration fee through payroll deduction. (If you are not a TI employee, you can pay registration fee at Texins membership desk with a credit or debit card.)