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GoGreen Member Registration Details
Dear GGI. We would appreciate if you could help us in filling the below form with the approprate details, We will process u'r details and update u with our GGI-Group registration and at the same time the below information can also help our cycling community (GoGreenin.org) to build a stronger & better community
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* Indicates required question
1) Nick Name
Your answer
2) Full Name with your Intial's
Pls fill your full name with Intial
Your answer
3) You'r Personal Mail ID
*
(Pls provide u'r mail ID for sending regular updates)
Your answer
3-b ) You'r Face book Id
*
Pls provide u'r face book id so that we will also put you on to our facegroup group
Your answer
4) You'r Mobile No.
*
Your answer
5) You'r Date of Birth
DD/MM/YYYY (22/12/1977)
Your answer
6a) Residence Short address
(Pls specify location u live in or u starting point.)
Your answer
6b ) You'r Zone
North / South / East / West / Central
Choose
North Zone
South Zone
East Zone
West Zone
Central Zone
7) Office Short address.
(Pls specify location u work)
Your answer
8) Are you a proud owner of Cycle or Looking for one ?
Chose the approprate option.
Already Owning Cycle
Looking out for a Cycle
Clear selection
9) Cycling from past Months/Years
*
Your answer
10) Cycling Route along with Start time (House & Office)
(Pls fill up the route with proper land mark, This info would be helpful for other cyclist to join you)
Your answer
11) How did u knew about GGGC..
(Please let us know how u came to know about our Go Green Campaign.
Refered by a existing member
Through media
Through Internet search
Clear selection
12) Pls specify the refered/Invited member's name
Your answer
13) Days you Cycle
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
14) Few words about yourself, U'r Age, Profession and type of cycle u use (Make and model) and why you have decided to go on Cycling.
(U would be one of the best example who could motivate other fellow citizens to take up Cycling)
Your answer
15) We will publish u'r details pertain to the selected rows of Sl No. 2, 6 & 14 on our website.
Will publish only the above said details on our website which can motivate others who visit our GoGreen site to turn them Green. Website section
www.GoGreenin.Org
(Mail-Id, Phone No & DOB will be kept confidential, However if u still don't wish to publish then select NO from the below list)
Choose
Yes!! I am glad to share
No
16) Would u like to be nominated as a point of contact from u'r area.
*
Will b sharing u'r contact details with concern GGI's located in u'r area /nearby Area. so as to communicate/Guide effectively.
Choose
No
Yes!! I would be glad to nominate myself as a POC for my Area
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