Mercer and Ocean
(609) 452-1491
  
Bike to Work Week
May 15-19, 2017
Pledge to ride your bike to work during Bike to Work Week! Sign up, get a free t-shirt (for the first 150 registrants), bike to work and enter to win great prizes! Bike to Work Week is May 15-19 and Bike to Work Day is Friday, May 19.

And after you’ve biked to work, we’ll remind you to log your miles on our website, and you will automatically be entered in a drawing to win one of the terrific prizes provided by our generous sponsors.

Signing up is easy. Just fill out the short form below. Questions? Problems? Email jibara@gmtma.org.
My Contact Information
First name:*
Last name:*
Email:*
Address:*
City:*
State:*
Zip code:*
Phone:
Place of Employment:
Employer Team Member?
I am a member of an employer team
Team Name:
Would you like us to hold a Bike Commuting Lunch & Learn?
Yes No
T-shirt size:*
Small Medium Large X-Large
Gender:*
Male Female
Which group do you belong to?*
Millenial Gen X Baby Boomer
My Biking Information
Where will you be bike commuting from?*
Home
Train Station (please specify which)   
Other   
Where will you be bike commuting to?*
Location name:*
Address:*
City:*
State:*
Zip code:*
Are you a first-time bike commuter?*
Yes No
How do you typically commute to work?*
Car
Bus
Train
Bike
Walk
Combination
Other   
How long is your typical commute, one-way?*
0-15 minutes
16-30 minutes
31-45 minutes
46-60 minutes
Over 60 minutes
How often do you ride a bike?*
Daily
3-5 times a week
Once or twice a week
Every 2-3 weeks
A few times a year
I don’t usually ride
What kind of bicycling do you usually do? (Check all that apply)*
To work
Social activities and community events
Errands/Shopping
Restaurants, coffee shops
School
Visit friends and family
Fitness/Recreation
Other   
Where would you like to see bicycle racks to increase your bike use?*
What one specific improvement would make your bike commute better?