National Corporate Team Program: International Teams

We would like to recognize your commitment to Relay For Life and reflect the full extent of your company's international participation in the global Relay For Life movement.

Please fill out the information below:

Company Name: *

If Other, please write in your company name:

Country: *

If Other, please write in your country:

Enter the name/location of the Relay Event you will participate in: *

Enter Your Name: *

First and Last Name

Enter Your Email Address: *

Enter Your Team Captain's Name (if not you):

Enter Your Team Name: *

Enter Number of Team Members:

Enter Your Team Goal:

Has the local Relay organization received your team registration fee?: *

Have you participated in a Relay before?:

Please select the most apprpriate statement: *

My team is already registered

My team is not yet registered

I need more information before starting a team

Jeff Montegut – March 5, 2009 – 5:55pm

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