Passes and Tickets By Mail

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Your information:
Name: ____________________________________________
Address: ____________________________________________
City: ____________________________________________
State: _______ Zip Code: __________________________
Telephone: ____________________________________________
Email: ____________________________________________

OFFICE USE ONLY
Price Quantity Total ISSUED DATE
 Adult/Student Ticket Strip              

 - 10 Ride Tickets

 $14.00  X 
 
=
$ 
 
   
 Adult/Student Unlimited Monthly Pass              

 - Indicate Month:__________

 $53.00  X 
 
=
$ 
 
   
 Senior Monthly Pass              

 - Indicate Month:__________

 $16.00  X 
 
=
$ 
 
   
 Disabled Monthly Pass              

 - Indicate Month:__________

 $16.00  X 
 
=
$ 
 
   
 Dial-A-Ride Tickets              

 - $3.00 per ticket

 $ 3.00  X 
 
=
$ 
 
   
 BART Tickets    

 - BART Blue ($48 Value)

 $45.00  X 
 
=
$ 
 
   

 - BART Green ($24 Value-Senior 65+)

 $ 9.00  X 
 
=
$ 
 
   

 - BART Red ($24 Value-Youth and Disabled)

 $ 9.00  X 
 
=
$ 
 
   

 

 Total:   $_______

Fares effective 25 February 2008