Bike Demo Registration Form (FREE) Island Lake Recreation Area May 10, 2008
USE THIS FORM TO REGISTER FOR THE FREE BIKE DEMO. PRE-REGISTRATION HELPS US PLAN ON THE NUMBER OF PEOPLE AND SPEEDS UP CHECK-IN AT THE DEMO.
Your Name*
Street Address*
City*
State*
Select
--- US States ---
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
Washington DC - District Of Columbia
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Armed Forces Americas
Armed Forces Pacific
Armed Forces other
American Samoa
Guam
Northern Mariana Islands
Palau
Virgin Islands
--- UK Counties ---
Avon
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Cheshire
Cleveland
Cornwall
Cumbria
Derbyshire
Devon
Dorset
Durham
Essex
Gloucestershire
Hampshire
Hereford & Worcester
Hertfordshire
Humberside
Kent
Lancashire
Leicestershire
Lincolnshire
London
Manchester
Merseyside
Norfolk
Northamptonshire
Northumberland
Nottinghamshire
Oxfordshire
Shropshire
Somerset
Staffordshire
Suffolk
Surrey
Sussex
Tyne & Wear
Warwickshire
West Midlands
Wiltshire
Yorkshire
--- Canadian Provinces ---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
--- Australian States and Territories ---
Ashmore and Cartier Islands
Australian Capital Territory
Coral Sea Islands Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
--- New Zealand Regions ---
Auckland
Bay of Plenty
Canterbury
East Cape
Hawke's Bay
Manawatu-Wanganui
Marlborough
Nelson
Northland
Otago
Southland
Tasman
Waikato
Wellington
West Coast
--- Hong Kong Administrative Districts ---
Central and Western
Eastern
Islands
Kowloon City
Kwai Tsing
Kwun Tong
North
Sai Kung
Sha Tin
Sham Shui Po
Southern
Tai Po
Tsuen Wan
Tuen Mun
Yuen Long
Wan Chai
Wong Tai Sin
Yau Tsim Mong
Zip Code*
Which county do you live in?*
Your Email (will not be used for other purposes unless you authrorize below)*
Which Types of Bikes Do You Currently Own (check all that apply)*
Road Bike - racing
Road Bike - touring/commuting
Road Bike - Tri / Time Trial
Mountain Bike
Cyclocross
Track
BMX
Recumbent
Hybrid / Cruiser / Other
I dont own a bike
Which Best Describes You (choose one)*
I plan to buy a bike in the next 60 days
I plan to buy a bike later this season
Later than that
I have no plans to buy a bike, just want to check out what's new
If I buy another bike she (or he) will leave me
My boyfriend/husband is a bike junkie and is dragging me along
My girlfriend/wife is a bike junkie and is bringing me for cover
Other
My next bike(s) will be (choose no more than two):
Road Bike - Racing
Road Bike - Touring /Commuting
Road Bike - Tri/Time Trial
Mountain Bike
Cyclocross
Track
Recumbent
BMX
Hybrid / Cruiser / Other
Don't Know
Yes, manufacturers and retailers may send information to my email address above, and you may provide them with my email address
Yes
No
I would like to subscribe to the Michigan Sports & Fitness Magazine e-newsletter (I may opt out at any time)
Yes
No
* Indicates field is required.