Products Shop Online Commercial Solutions Interactive Tools Motivation & Community Training & Competition Service Company
Million Meter Club Online Entry Form

Note: Only complete and send this form if you have already completed the million meters and are in the US or Canada. If you are outside of the US or Canada, please see the list of
Concept2 Dealers

You can either complete this form online (only if you log your meters in a Concept2 Online Logbook)
or you can print this page and mail it to us, along with the first and last page of your logbook, to
Concept2, Inc. 105 Industrial Park Dr, Morrisville, VT 05661 Attn: KC

Name:
Address:
City: State: Zip:
Country:
Tel:
Email:
I have never received anything from Concept2 before. Please add me to your mailing list to receive the Update newsletter twice a year.
I already receive Concept2 mailings, but please note that I am at a new address.

Gender: Female    Male
Age:
Date of Birth: (mm/dd/yyyy)
KIDS CLUBS

Please indicate which club you are applying for:

Kid's Club 5,000 Meters
Kid's Club 10,000 Meters
Kid's Club 20,000 Meter
Kid's Club 40,000 Meters
Kid's Club 100,000 Meters

INDIVIDUAL MILLION METER CLUBS

Please indicate which Million Meter Club(s) you are applying for (you may check more than one if applicable) and your desired prize(s):
Click here to see photos of the incentive prizes.
If you prefer to not receive a certificate, prize or pin, please see below **.

1 Million Meter Club
Short-Sleeved T-Shirt Size:  M L XL XXL

2 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
3 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
4 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
5 Million Meter Club
Please select only one shirt.
Long-Sleeved T-Shirt Size:  M L XL XXL

6 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
7 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
8 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
9 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
10 Million Meter Club
Sweatshirt Size:  M L XL XXL
11 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
12 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
13 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
14 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
15 Million Meter Club
Short-Sleeved T-Shirt Size:  M L XL XXL
Padded Rowing Shorts Size:  XS (26-28) S (29-30) M (31-33) L (34-36) XL (37-39) XXL (40-44)
16 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
17 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
18 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
19 Million Meter Club
Water Bottle   Drinking Glass   Socks
*Sock Size: Ladies Mens (10-13) Mens XL (13-16)
Twenty Million Meter Club
The prize for this level is a special 20 Million Meter Club embroidered Sports Bag.
  Sports bag

Twenty-One Plus Million Meter Club    # Meters:
You will receive the above prizes for your efforts (i.e. at 21 million, you will receive another Million Meter T-shirt and at 22 million you will have the choice of drinking glass, socks or water bottle), but your certificate will reflect 21 Million Meters or 22 Million Meters respectively.

** If you prefer to not receive a certificate, prize or pin, please check the appropriate box/boxes:
No certificate
No prize
No pin (pins are available only at the levels 1, 5, 10, 15 and 20)

TEAM MILLION METER CLUBS

Please include all team members names and their meter totals in the comments below or in a separate email to kcc@concept2.com)

Team One Million Meter Club
Team Five Million Meter Club
Team Ten Million Meter Club

Comments:

Important: Submit this form only if your meters are logged online.
Online personal logbook User Name - used to verify meter totals:
All others, please fax to 802-888-4791, mail to 105 Industrial Park Dr., Morrisville, VT 05661 or email your logbook information to KC Colt at kcc@concept2.com.