Team First Candle - 2019 TCS New York City Marathon Bib Sign Up Questionnaire



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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Address

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* 4. Date of birth

Date of Birth

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* 5. Company Name

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* 6. Does your employer match charitable contributions?

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* 7. What is your fundraising goal for this year? Note: Runners are responsible for raising a minimum of $2,500.

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* 8. Please tell us why you would like to be a part of Team First Candle.

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* 9. TERMS AND AGREEMENT:  If my application is approved, I agree to provide credit card information as a personal guarantee for my fundraising minimum of $2,500 plus $100 sign up fee.

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