Americans United Flag Across America Runner/Help Offer Form DEACTIVATED! THIS FORM NO LONGER FUNCTIONS BECAUSE THE FLAG RUN IS OVER.

Please use this form to submit your offer to run or otherwise help this event be a success. Submit the information for the state in which you want to help (states through which the run has already passed are not shown). All information marked with * is mandatory and must be supplied. (This information will not be provided to any other organization or corporation).

NOTES:     1. If you are only interested in running and/or you do not live in a state through which the planned route appears to go (as shown on home page), please complete the form for EACH state in which you are most interested in running (you can run in more than one state if you want).     2. Please make sure that you include your residence City, Zip Code, Travel Distance Willing, and Running Distance Able if you are offering to run (to help the regional coordinators in planning).     3. Each runner/volunteer will need to sign a waiver of liability before you can participate.

Full Name *:
E-Mail Address *:
Phone Number *:
MANDATORY Please Select ONE Job Type and Employer at Right	Airline:	Click Button at Left And Pull Down to Select Airline American Airlines United Airlines Air Canada Air Nova Air Ontario Air Transat Air Transport Intl Air Wisconsin AirBC AirTran Airborne Express Alaska Alaska Central Express Allegheny Aloha Aloha Island Air America Trans Air America West American Eagle Amerijet International Atlantic Coast Atlantic Southeast Atlas Air Bearskin Big Sky CC Air Calm Air Canada 3000 Canadian Canadian Regional Cape Air/Nantucket Casino Express Chalks Challenge Air Cargo Champion Air Chicago Express Colgan Air Comair Commutair Continental & Express Corporate Custom Air Transport DHL Delta Eastwind Emery Worldwide Era Aviation Evergreen International Executive Jet (ExecJet) Express Airlines I Express One Intl FedEx Fine Air Frontier Gemini Air Cargo Grand Air Express Great Lakes Gulfstream International Hawaiian Horizon JetBlue Kalitta Air Kelowna Flightcraft Kitty Hawk AirCargo Mesa Mesaba Midway Midwest Express Morningstar National North American Northern Air Cargo Northwest PSA Pan American Peninsula Piedmont Polar Air Cargo Ross Aviation Ryan Shuttle America Skyway Skywest Southern Air Transport Southwest Spirit Sun Country TWA LLC Trans States USA Jet USAirways United Feeder Service United Parcel Service Vanguard World Zantop International Other/Not Applicable or
	Government:	Click Button at Left And Pull Down to Select Govt Agency US Air Force US Army US Navy US Marine Corps US Coast Guard DoD Employee US Fed Govt Employee State Govt Employee Local Govt Employee Elected official Other US Govt Employee or
	Emergency:	Click Button at Left And Pull Down to Select Job Type Police Officer Firefighter Emergency Medical Technician Relief Worker Rescue Worker Health Care Worker (MD, RN, etc) Other Emergency Worker or
	Civilian:	Click Button at Left And Briefly Describe Occupation
Region *:		Select Massachusetts Rhode Island Connecticut New York New Jersey Pennsylvania Maryland Washington DC Virginia North Carolina South Carolina Georgia Alabama Mississippi Louisiana Texas Oklahoma New Mexico Arizona California Runner Home City: Zip:
Participation Type *:		Select Runner Logistics Support Comm/Media/Interviews Corporate Sponsor Other Runner Distance Able (Miles):   Willing to Travel (Miles):
Comments:

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Updated: 11 October 2002
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