CREATE AN ACCOUNT |
Simply fill out the following registration form and start walking and/or cycling to and from work today! |
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* All Fields Required |
Account Information |
Work/School Email Address (Private) | |
All e-mails from the system will be sent to this address. |
Password | |
Confirm Password | |
Personal Profile |
First Name (Private) | |
Last Name (Private) | |
Phone Number (Private) | |
Extension | |
I would like to subscribe to ACTIVATE Your Commute Program mailing list | |
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Organization (Public) |
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Your Commute |
What type of vehicle do you own? |
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How do you normally commute to work? |
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If you use more than one way of getting to work, select the one you use for the majority of your trips. |
Which Active Transportation Mode will you
use most often? | |
Please note a walking or cycling welcome package will be mailed to you as per the active transportation mode selected above. |
Calculate Calories Burned |
Please select your gender | |
Enter your weight in pounds | lbs. |
Please note: This field is optional. If no weight is specified the following default weights will be used to calculate calories burned. Default male weight of 160 lbs. Default female weight of 130 lbs. |
ACTIVATE Your Commute Welcome Package |
Terms and Conditions |
Please read the terms of this release form. If you accept these terms, please click I Accept these terms at the bottom of this page to continue.
All the information collected on the Website will be kept strictly confidential according to the Privacy Policy and will not be sold, reused, rented, loaned or otherwise disclosed. You may access, correct and delete your own personal information stored by ACTIVATE Your Commute by using the Website or by e-mailing the administrator through the "Contact Us' webpage. |
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