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MMRF Endurance Events

2012 EMPIRE STATE BUILDING RUN-UP APPLICATION

Thank you for your interest! We are building a team of 100 athletes for the 2012 Empire State Building Run-Up Powered by the MMRF. This race will be filled by the sole discretion of the MMRF Endurance Events staff. Fundraising commitment as well as a connection to myeloma, either through a patient or through research or work, will be taken into consideration. A select number of corporations will be participating as part of the Corporate Challenge Team for this event.

	How can we reach you?
*1.	Question - Required - First Name:
*2.	Question - Required - Last Name:
3.	Question - Not Required - Email:
4.	Question - Not Required - Phone Number:
*5.	Question - Required - Connection to Multiple Myeloma:
*6.	Question - Required - The fundraising minimum for this team is $2500 per team member . We will help you get there. How much do you think you can raise?
*7.	Question - Required - We have a limited number of entries for this MMRF wave. Tell us why you want to be part of our team and why you would make a good MMRF PowerTeam member.
*8.	Question - Required - Are you interested in being part of a 3-person corporate team?
9.	Question - Not Required - If you chose "Yes" above, what is the name of your company?
*10.	Question - Required - How did you hear about us?
11.	Question - Not Required - If you chose "Other" above, please let us know how you heard about us here:

Join an event:

MMRF Endurance Events

2012 EMPIRE STATE BUILDING RUN-UP APPLICATION

How can we reach you?