Way to Go! Commuter Challenge

60% of Americans have completely sedentary lifestyles.

If you use a bicycle instead of a car for a four-mile trip, you'll keep 15 pounds of pollutants out of the air.

Sign Yourself Up Using the Form Below
Use the 'tab' key to move from one field to the next.
Pressing the 'Enter' button will submit your information.

First Name:
Last Name:

Select from Employers/Schools

If not listed above, indicate Employer/School here (Required):

City of Employer/School:
Commute Starts From (Town/City)
State:
Phone (in case I win a prize):
Email (for news/announcements only):
My work/school hours for this week will be:	to
Round Trip Per Day (total miles avoided/day)	miles per day.
Age Range:

These are the ways I plan to commute during "Way to Go!", 2010 (check all that apply):

Bike	Bus	Carpool/Vanpool
Telecommute		Walk
Other:

I already regularly commute using these modes.

I plan to use these alternate methods

days during "Way To Go! (May 17-21).

Describe any obstacles that prevent you from using these alternate methods on a regular basis:

Please describe how you feel about your current commute:

How did you hear about "Way to Go!"

I'd like to help my neighborhood or workplace participate in next year's "Way to Go! Commuter Challenge". I'm also willing to participate in a post-event survey for a chance to win a prize.

Register for GO VERMONT, a free service connecting individuals who are seeking to commute to work via carpool, vanpool, transit or bicycle.

Personal information will NOT be shared with ANY third party. This information will ONLY be used by "Way to Go!" organizers to report event results, distribute news and other points of interest.

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