Mercer and Ocean
(609) 452-1491
 
Bike to Work Week
Greater Mercer TMA’s Bike to Work Week
May 12-16, 2014
Will you pledge to ride your bike to work during Bike to Work Week? If you complete this registration form, you could receive a FREE Bike to Work t-shirt – only available to the first 150 people who sign up.

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: Small World Coffee, Hart’s Cyclery, Knapps Cyclery, McCaffrey’s Supermarket, Whole Earth Center, Kopp’s Cycle, and the St. Lawrence Rehab Center.

Additionally, all participants will receive a certificate of participation with their travel miles and CO2 savings noted.

Signing up is easy. Just fill out the short form below. Questions? Problems? Email jfoster@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
T-shirt size:*
Small Medium Large X-Large
Gender:*
Male Female
My Biking Information
Where will you be bike commuting from?*
Location name:*
Address:*
City:*
State:*
Zip code:*
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? (Check all that apply)*
Grocery stores/shopping malls
Restaurants
Parks
Municipal buildings
Bus stops, train stations, light rail stations
Employer locations
Town centers/main streets
What is your primary concern when deciding to ride your bike? (Choose one)*
Convenience, shortest route to destination
Pleasant route/scenic value
Comfort/personal safety in traffic
Safe/convenient bike parking
Good training route
Other   
What most influences your decision to ride your bicycle for any given trip? (Choose one)*
Presence of bike trails, lanes, or shoulders
Amount of traffic on the road
Speed of traffic
Number of major intersections
Bicycle parking at destinations
Showers/changing areas at destinations
Other   
How would you rate the cycling conditions in your community?*
Excellent
Good
Fair
Poor