Registration - Mike Pagtakhan, B.A., CIM, C.P.P. - City Councillor


	City Hall, Council Building 510 Main Street Winnipeg, MB Canada R3B 1B9 Phone: (204) 986-8401 Fax: (204) 986-3725 Email: mpagtakhan@winnipeg.ca

August 29, 2009

Note: Children must be accompanied by adults. Wearing of helmets is required.

*Name:
*Organization:
*Address:
Postal Code:
Phone Number:	( ) -
*Email Address:
I would like to receive more information about:	How to make my workplace more bike-friendly Biking routes Cycling safety Health benefits of cycling Environmental benefits of cycling Economic benefits of cycling
Would you be willing to join a cycling group?	Yes No
Where did you hear about this event?	If other, please specify:
Did you join the Bike to Work Day held last June 19, 2009?	Yes No
	Validation Code: