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Cycle NC Ambassador Application

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Email *

First Name *

Last Name *

Phone *

Date of Birth *

Approximate social media following (Please add all platforms) *

Link to Facebook Profile

Instagram Handle

Twitter Handle

Please list any other active social media accounts/handles:

Please list any bike clubs that you are involved in:

Have you participated in Cycle NC events in the past? *

Yes

Please briefly tell us why you would like to be selected as a Cycle NC Ambassador: *

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