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* 1. Your name

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* 2. Email address

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* 3. Mobile phone number

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* 4. What state do you live in?

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* 5. Are you a member of Bicycle Network?

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* 6. How long have you been riding for?

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* 7. Are you currently part of a cycling club?

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* 8. If yes, which club?

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* 9. What type of bike do you ride?

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* 10. Approximately how many kilometres do you ride each week?

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* 11. Where do you spend most of your time riding?

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* 12. How would you best describe yourself as a rider? What motivates you to get on your bike?

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* 13. Why you would like to be part of Team Bicycle Network?

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