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In order to assist with the monitoring and evaluation of this project we would be very grateful if you could provide some basic information about your journey to work. All we require is your home and work postcodes and the means by which you normally travel to work.

If your employer is participating in this project then you will automatically recieve future editions of the Optimum2 newsletter. If your employer is not one of the participating companies, but you would still like to recieve future editions of the newsletter or to take part in our online calorie counter please register below.

First Name:
Last Name:
Home Postcode:
Work Postcode:
How do you normally travel to work?
If other please specify:

Email address:
Password:
Please choose a login name and password.
Only alpha-numeric charactors are allowed, no spaces for password.

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4 Febuary 2012
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