Survey - T2 RFI

T2 RFI

Are you ready to learn more about the T2 program? Please complete the following and a T2 Team Manager will get in touch with you ASAP. ***(Please note that only select staff members of AIDS Project Los Angeles (T2) will have access to any personal information that is provided in this form. A T2 staff member may contact you via telephone, e-mail or both, but will cease to contact you if you no longer wish to be contacted. Under no circumstances will your personal information be sold to or shared with a third party. This site is operated in accordance with APLA's privacy policy, which can be accessed at this web address: http://apla.org/privacy/privacy_policy.html)


	Title:
*	First Name: Required
*	Last Name: Required
*	Email: Required
	Street 1:
	City:
	State / Province:
	ZIP / Postal Code:
*	Phone Number: Required
	If you respond and have not already registered, you will receive periodic updates and communications from APLA.

Question - Not Required - If you have a specific question or concern, please tell us briefly below. Thanks.

*3.

Question - Required - How did you hear about T2?

Please verify that all of the above information is accurate before sending.

TEAM TO END AIDS -- Los Angeles | The David Geffen Center: 611 South Kingsley Drive, Los Angeles, CA 90005 213.201.1400 : T2EA@apla.org

TEAM TO END AIDS (T2) is a marathon and endurance training program benefiting AIDS Project Los Angeles.