Become an Ambassador

Name *

City *

Email *

Pledge *

I pledge the following (please check the box):I pledge that as a Tampa BayCycle Ambassador, I will try to bicycle to work, school, for recreation or errands instead of driving as much as possible. I will encourage my coworkers, friends, and family members to ride their bicycles. I pledge this because I believe bicycling makes our Tampa Bay community stronger, reduces traffic congestion, conserves gas, makes me healthier, and helps the environment.

Why do you ride your bicycle: *

I ride my bicycle for (check all that apply):RecreationErrands (store, post office, etc.)Commuting to Work or SchoolEntertainment (Restaurant, Movie, etc.)ExerciseTransportation ( I do not own a car)

Do you currently commute to work by bicycle? *

Yes I ride every day by bicycleI ride one or two days a weekI ride three to five daysNo I do not currently commute by bicycle

I would like to be contacted and featured as the Tampa BayCycle Ambassador of the Month. *

YesNo

How did you hear about Tampa BayCycle?

Word of Mouth (Friend, coworker, etc.)FacebookTwitterNews StoryAttended EventBike ShopLocal BusinessFrom EmployerTampa BayCycle websiteOther websiteOther

Complete the following pledge form and your name will be added to the Ambassador list on the Tampa BayCycle website. You will also receive periodic information regarding events and opportunities.

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