2013 Alberta Request Information - The Ride to Conquer Cancer

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Request More Information about The Ride

Please fill in the form below to request information about the 2013 Event.

Thank you for your interest in The Enbridge Ride to Conquer Cancer. We invite you to join this epic bike ride in 2013, so please fill in the fields below and we will contact you with more information.

*All fields marked with an asterisk are required fields.

*1.

Question - Required - How did you hear about the 2013 Enbridge Ride to Conquer Cancer?

Question - Not Required - How else did you hear about us?

Question - Not Required - If someone referred you to us, please enter their first and last name.

Please enter your contact information:

Name:

Title	First Required	Middle Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/Province or State/Postal Code or Zip:

City Required	Province/State Required	Postal Code/Zip Required

Country: Required

Phone Number: Required

Date of Birth:

Yes, I would like to receive e-mail from The Enbridge Ride to Conquer Cancer

Email Format:

Yes, I would like to receive postal mail from The Enbridge Ride to Conquer Cancer

The Ride to Conquer Cancer uses your email address to communicate with you in the most cost effective way. We do not give out any participant's, donor's, or any other person's email address to third party agencies, unless you join a shared Rider list when you register. We have the highest respect for your privacy and confidentiality.

If you do not have an email address, we encourage you to set up a free one, with any free email provider, such as Hotmail or Yahoo.com. Or, if you are unable to set up an email address, please contact our coaching team at [888] 624-BIKE.

Question - Not Required - Business Name:

Question - Not Required - Business/Other Phone Number:

Question - Not Required - Mobile Phone Number:

Question - Not Required - By clicking below I agree to receive monthly text messages and mobile alerts from The Enbridge Ride to Conquer Cancer. I understand standard carrier message and data rates may apply. Text STOP at any time to cancel. Text HELP for help. Terms and Conditions apply (www.conquercancer.ca/2013AlbertaTerms)

I would like to receive monthly text messages and mobile alerts from The Enbridge Ride to Conquer Cancer

The Ride to Conquer Cancer is a registered trademark of The Princess Margaret Cancer Foundation, used under license; Enbridge is a registered trademark of Enbridge, Inc., used under license.