., • Jim Pierce From: Jim Pierce Sent: Tuesday, October 19, 1999 3:36 PM To: Ron Whitehead Subject: FW: DART Rideshare Survey Forms Ron: There always seems to be an interesting twist to things. Do you think it would be OK for Neil to use his car for car pooling? Jim. ·····Origln.1 Messag............ From: Neil Gayden Sent: Monday, October 18, 1999 10:13 AM To: Jim Pierce SUbject, RE: DART Rideshare Survey Forms Jim, There are several of us that live in The Colony and at least 2 of us, myself and Mark Acevedo have propane powered take-home cars. I can't speak for Mark and I'm not sure what the Town's policy might be, but I can see an opportunity to do some carpooling. There really WOuld not be any additional cost to the Town for the vehicle usage (the cars go back and forth to The Colony every day). However, for those additional riders we could carry, not having to use their cars a couple of days a week could be viewed as a benefit that would not be accessible to everyone, But if the Town is truly committed to reduce trips, there might be some way to work it out. NEIL @ext 2821 ·----Origlnal Message----From: Jim Pierce Sent: Monday, October 18, 1999 9:30 AM Subject, DART Rideshare Survey Forms Remember those DART commuting/rideshare survey fomns a lot of you filled out back in February? Well, the results have finally come back! The Town of Addison is very interested in promoting car pools, van pools, and use of the public transportation system as a way of reducing traffic congestion, and doing our part to reduce the region's air pollution problem. Would you be interested in riding in a van pool or riding the bus to work? If so, I believe the Town would be willing to subsidize costs such that a van pool rider would pay approximately $34.00 per month, or less (depending on the number of riders), and a bus rider would pay approximately $15.00 per month. Many people may not be able to van pool or ride the bus. However, I would like you to consider car pooling. Even if you could only car pool once or twice a week, It would help a great deal. If you fomn a car pool, please let me know. I would also like to know about any of you that are car pooling now -I believe you all deserve some recognition! I will be sending the survey results out to those that responded as my time permits. For those of you that did not fill out a survey fomn, if any of this interests you, please contact me. Lets see what we can do to help our community! Jim Pierce, P.E, Assistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 1 61 ____ 'e:;1 􀁰􀁾CftrL 􀁾􀁾􀁾"2€"/7 􀁾􀀭􀁹􀁴􀀮􀁲􀀭􀁾􀀠-􀁾_ 􀁾v?VV\. 􀁾􀀠􀁦􀀼􀀾􀁷􀀮􀁾􀁾􀀠PUBLIC WORKS DEPARTl\'IENT (972) 450-2871 􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀂮􀀠Poo. Office Box 9010 Addison. T.... 75001-9010 16801 West.grove Date 10-1 t-91 <7). Il. Dear: 􀁟􀀭􀀭􀀢􀁾􀀢􀀢􀀭􀀭􀀽􀀽􀀭􀀭􀀽􀀭􀀭􀀽􀀭􀀭􀀧􀀽􀀽􀀽___ Attached are the DART Rideshare Survey results that I E-Mailed you about recently. As you can see, the survey results are not perfect. Everyone's work address was input as 5300 Belt Line Road, which ofcourse is Town Hall, and everyone does not work there. Also, there are some people that do not work for the Town that may be on your list. They simply carne out ofDART's database as a possible "match" for a rideshare. It's OK to contact them ifyou wish. Even so, your list has enough names for a possible van pool (7 to 15 riders). Ifyou can get enough people for a van, please let me know and I will help with the details. Don't forget, car pooling or riding the bus are also good options ifappropriate. ! . 1 I , , i . i • ' l : i : i : , ' 1 1 PUBLIC WORKS DEPARTMENT (972) 450-2871 Post Office Box 9010 Addison. Texas 75001-9010 16801 Westgrove Date __________ 􀁄􀁾􀀺􀀠_____________________ Attached are the DART Rideshare Survey results that I E-Mailed you about recently. As you can see, the survey results are not perfect. Everyone's work address was input as 5300 Belt Line Road, which ofcourse is Town Hall, and everyone does not work there. Also, there are some people that do not work for the Town that may be on your list. They simply carne out ofDART's database as a possible "match" for a rideshare. It's OK to contact them if you wish. Ifyou are able to form a car pool, please let me know. Don't forget, riding the bus is also a good option, ifappropriate. Again, ifyou are able to ride the bus, please let me know. I'll do what I can to get you a discounted bus pass. Please contact me at 972-450-2879 or via E-Mail ifyou have any questions. Jim Pierce Assistant City Engineer Jim Pierce From: Jim Pierce Sent: Monday, December 06, 1999 5:10PM To: Kyle Fortenberry; Tex Jennings; Reagan Randall; Max Steadham; Thomas Foster; Debra Warmke; Joni Ramsey; Charlie Foster; William Rachelur; Ricky Smith; Stephanie LedgelWood; Russell D King; Edward Gibson; Paul Jackson; Arlie Everett; Roy Baxter; Stephen Dyer; Rexanne Braswell; Christina Lancaster; Barbara Kovacevich; Jeff Smallwood; Thomas Hess; Truman Akins; Gary Punkoney; Mark Metdker; Christopher Kellen; David Benson; Kelly Kirkpatrick; Marvin Collins; Barry Larkin; Larry Sparks; AI Dent; Pam Storaci; Ron Lee; Tony Shanley; Adolfo Camargo; Bob Phillips Subject: DART Rideshare Program First of alii want to thank you for participating in the DART Rideshare Survey that we took back in February. I know it has taken a long time, bu1 we finally got the results back from DART. However, unfortunately, the survey did not come up with a rideshare match for you. I wanted to let you know this, bu1 I also want to encourage you to look for future opportunities to car pool, van pool, or ride the bus, if appropriate. Jim Pierce, P.E. AsSistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 1 PUBLIC WORKS DEPARTMENT (972) 450·2871 Post Office Box 9010 Addison, Texas 75001-9010 16801 Westgrove Date ____________ Dear: ___________ Subject: DART Rideshare Program First of alii want to thank you for participating in the DART Rideshare Survey that we took back in February. I know it has taken a long time, but we finally got the results back from DART. However, unfortunately, the survey did not come up with a rideshare match for you. I wanted to . let you know this, but I also want to encourage you to look for future opportunities to car pool, vanpool, or ride the bus, if appropriate. Jim Pierce, P.E. Assistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 ------------PUBLIC WORKS DEPARTMENT (972) 450-2871 Post Office Box 9010 Addison, Texas 75001-9010 16801 Westgrove Date _________ Dear: Attached are the DART Rideshare Survey results that I E-Mailed you about recently. As you can see, the survey results are not perfect. Everyone's work address was input as 5300 Belt Line Road, which ofcourse is Town Hall, and everyone does not work there. Also, there are some people that do not work for the Town that may be on your list. They simply came out ofDART's database as a possible "match" for a rideshare. It's OK to contact them if you wish. If you are able to fonn a car pool, please let me know. Don't forget, riding the bus is also a good option, ifappropriate. Again, if you are able to ride the bus, please let me know. I'll do what I can to get you a discounted bus pass. Please contact me at 972-450-2879 or via E-Mail if you have any questions. Jim Pierce Assistant City Engineer Jim Pierce From: Jim Pierce Sent: Monday, October 18, 19999:30 AM Subject: DART Rideshare Survey Forms Remember those DART commutingfrideshare survey forms a lot of you filled out back in February? Well, the results have finally come back! The Town of Addison is very interested in promoting car pools, van pools, and use of the public transportation system as a way of reducing traffic congestion, and doing our part to reduce the region's air pollution problem. Would you be interested in riding in a van pool or riding the bus to work? If so, I believe the Town would be willing to subsidize costs such that a van pool rider would pay approximately $34.00 per month, orless (depending on the number of riders), and a bus rider would pay approximately $15.00 per month. Many people may not be able to van pool or ride the bus. However, I would like you to consider car pooling. Even if you could only car pool once or twice a week, it would help a great deal. If you form a car pool, please let me know. I would also like to know about any of you that are car pooling now -I believe you all deserve some recognition! I will be sending the survey results out to those that responded as my time permits. For those of you that did not fill out a survey form, if any of this interests you, please contact me. Lets see what we can do to help our community! Jim Pierce, P.E. Assistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 1 Jim Pierce From: Jim Pierce Sent: Monday, December 06,19995:10 PM To: Kyle Fortenberry; Tex Jennings; Reagan Randall; Max Steadham; Thomas Foster; Debra Warmke; Joni Ramsey; Charlie Foster; William Rachelur; Ricky Smith; Stephanie LedgelWood; Russell D King; Edward Gibson; Paul Jackson; Arlie Everett; Roy Baxter; Stephen Dyer; Rexanne Braswell; Christina Lancaster; Barbara Kovacevich; Jeff Smallwood; Thomas Hess; Truman Akins; Gary Punkoney; Mark Metdker; Christopher Kellen; David Benson; Kelly Kirkpatrick; Marvin Collins; Barry Larkin; Larry Sparks; AI Dent; Pam Storaci; Ron Lee; Tony Shanley; Adolfo Camargo; Bob Phillips Subject: DART Rideshare Program First of all I want to thank you for participating in the DART Rideshare Survey that we took back in February. I know it has taken a long time, but we finally got the results back from DART. However, unfortunately, the survey did not come up with a rideshare match for you. I wanted to let you know this, but I also want to encourage you to look for future opportunities to car pool, vanpool, or ride the bus, if appropriate. Jim Pierce, P.E. Assistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 1 Jim Pierce From: Clyde Johnson Sent: Monday, October 18, 1999 9:37 AM To: Jim Pierce Subject: RE: DART Rideshare Survey Forms I don't think I will be interested for several reasons: (1) I need a vehicle at work from time to time and we don't have a "finance vehicle" any more (2) I don't think there is anyone else that lives in my area of North Dallas (3) I wouldn't want the restrictions that carpooling would place on my mobility and schedule Thanks anyway. Clyde Johnson Purchasing 972-450-7090 ----Original Message----From: Jim Pierce Sent: Monday, October 18, 19999:30 AM Subject: DART Rideshare Survey Forms Remember those DART commutinglrideshare survey forms a lot of you filled out back in February? Well, the results have finally come back! The Town of Addison is very interested in promoting car pools, van pools, and use of the public transportation system as a way of reducing traffic congestion, and doing our part to reduce the region's air pollution problem. Would you be interested in riding in a van pool or riding the bus to work? If so, I believe the Town would be willing to subsidize costs such that a van pool rider would pay approximately $34.00 per month, orless (depending on the number of riders), and a bus rider would pay approximately $15.00 per month. Many people may not be able to van pool or ride the bus. However, I would like you to consider car pooling. Even if you could only car pool once or twice a week, it would help a great deal. If you form a car pool, please let me know. I would also like to know about any of you that are car pooling now -I believe you all deserve some recognition! I will be sending the survey results out to those that responded as my time permits. For those of you that did not fill out a survey form, if any of this interests you, please contact me. Lets see what we can do to help our community! Jim Pierce, P.E. Assistant City Engineer PO Box 9010 Addison, TX 75001-9010 972-450-2879 1 PUBLIC WORKS DEPARTMENT (972) 450-2871 August9;1999-® Post omce Box 9010 Add_. T"""" 75001·9010 168(}1 We3lgrove Mr. Rafael Sustaita, Sales Supervisor DART Consumer Programs P.O. Box 660163 DaUas, TX 75266-0163 Re: Town of Addison -DART Ridership Survey Dear Mr. Sustaita: As you know, in February, 1999, the Town ofAddison surveyed its employees to determine if there were opportunities for car or vanpools within our employee group. Since then, there was a reassignment ofmy contact to another position, and, I understand there were problems with the computer program. My last contact was in May, with Brenda Whitaker, and I was advised that the software problem was fixed, and I would be receiving information soon. We are still very interested in this program but as ofthis date, I have not received any information. I would like to hear from you as to how we can get this project back on track. Please can me at 972-450-2879 Very truly yours, Town of Addison ., 􀀡􀀡􀁵􀀺􀁾􀁦􀀡􀀺􀀡􀁴􀁪􀀻sistant City Engineer cc: Chris Chris Teny, Assistant City Manager John Baumgartner, Director ofPublic Works Dallas Area Rapid Transit P.O. Box 660163 Dallas, Texas 75266-D163 214/749·3278 March 9, 1999 Jim Pierce Town ofAddison 16801 Westgrove Dr. Addison, TX 75001 Dear Mr. Pierce: Thank you for your interest in DART. In'the past, you have contacted Sonjia Livingston for information and assistance, Sonjia has been promoted to a new position in Market Research. In the future, ifyou have any questions about DART Services, please call Rafael Sustaita, Supervisor ofSales at (214)749-3241. Enclosed is one ofmy business cards for your records. We also would like you to be aware ofaU the new and innovative discounted me programs available to your employees through our Employer Programs, such as the E-Pass. These have proven useful in recruiting and retaining valuable employees. It also includes the DAR Tvan programs. If you would like more infonnation about these programs or other ways that DART can provide valuable benefits to your company, please contact me. t;'-'l 􀀯􀀱􀀯􀁲􀁬􀁍􀀮􀀮􀁁􀀢􀀧􀀭􀁾􀀠• 'Michelle Garza; Tracy Collins; Patricia Jones; Jo,Ann Shuffield; Judy Stafford; Randy Rogers' Subject: Town/DART Ridership Survey The Town, along with DART, will be conducting a survey of all Town employees to try to identify opportunities for car pooling, vanpooling, or more use of public transit. The objective is to do what we can to reduce traffic congestion. A message from Ron Whitehead, along with the survey fOnTI, will appear in the next paycheck, and the next issue of Town Talk. If you would please be the person to collect the survey fOnTIS from your area it would be most appreciated. When all the survey fOnTIS are in, please return them to me at the Service Center. Thanks, Jim Pierce, Assistant City Engineer, Phone 2879. E􀁉􀁾:q Fled-Sv'C5 F8 lJf J;;1SP.{ j(.f", -:;nlf-ky-Trytf/1//"1 􀁭􀀮􀁊􀁾􀀭􀀼􀀮􀀠􀁴􀁭􀀯􀀺􀀬􀁾􀀮􀁬􀁾􀀠􀁾􀁾􀁴􀁾􀀠........􀁾􀁾􀀠􀁆􀁬􀁊􀀱􀁤􀀨􀁬􀁣􀁾􀀠 CITY MANAGER'S DEPARTMENT • (214) 4S0-1{)(l{}. FAX (214)960-7684 Post Office Bnx 144 Addison. Texns 􀀷􀀵􀀰􀀰􀀱􀁾􀀰􀀱􀀴􀀴􀀠5300 Belt 􀁌􀁩􀁮􀁾􀀠Road WHAT CAN WE DO TO REDUCE TRAFFIC CONGESTION? VAN POOL? CAR POOL? RIDE THE BUS? The Town ofAddison, with DART's assistance, is taking a survey ofall employees to see ifthere are any opportunities for reducing traffic congestion by way of encouraging the use ofvan pools, car pools, or riding the bus. Please fill in the very brief survey form on the reverse side ofthis sheet. Return the form to your department secretary as soon as possible. We will also provide a form with your next paycheck just in case you need it. Please, just submit one form. DART will compile the survey information and a match list will be generated that will contain names and phone numbers ofother Town employees that live in your vicinity and work the same hours you work. We will then be able to see how many possibilities we have for each option. Other advantages ofusing these transit options, options, beside reducing traffic congestion, include: • You can save money • Fewer parking spaces required • Less air pollution • Reliable transportation is provided I want to thank you in advance for your cooperation, Ron Whitehead, City Manager -----􀀮􀁾􀀠􀁾􀁾11230 III H. j • At:>DIsoN -...ea.) rl . . i® Instructions: The purpose of this survey is to determine company-specific travel demand and commute patterns for each employee. By completing this survey so that you can receive information on commute alternatives, you can examine and analyze your options, and then decide on what is best for you. The decision to RideShare--be it to save wear and tear on your automobile or save money on high gas prices--is yours. RideSharing may or may not be for you, but you lY'Ne it to yourself to examine the options. If you have any questions, please call DART Commuter Services at (214) 747-RIDE. For optimum accuracy, please print in capital letters using only ink and avoid contact with the edge ofthe box. The following will serve as an example: FiIstName Last Name I I I 1 Street Number SYeetName Apartment Number I 1 1 1 1 I Ir--TI-.-[-r-I"'--1"-1Ir--TI-'-L-r-,"'--1 "'--1 l.--rl--r-I-r-I"'--1,...--;,1 [ I 1 1 I 1 eil)' ZIP Code LL I 1 I I 1--,---1-'--....III [I 1 1 I I 1 Work Telephone Number Home Telephooe Number (1 917121) Ir---r-I-,--oll-llill (I I I I) 1'--'-1"--'11-1 1 1 1 1 At which number would you prefer to be contacted? oWork o Homa Shade circles like this: • Not like this: 􀁾<:I -......__._--......_----......__.-1. What time does your typical IT]'IT] 0 AM workday begin? . 0 PM 2. What time does your typical workday end? OAM OPM 3. What is your typical work schedule? (Shade In Only One) o My work schedule is pretty much the same every workday. o My schedule varies greatly every work day. o My schedule could vary within 1/2 hour each day. 4. What days do you travel to and from work? (Shade In No More Than Five) o Sunday 0 Monday 0 Tuesday 0 Wednesday-_.... _-......_-5. How do you usually travel to work? (Shade Only One) o Drive Alone 0 Carpool 0 Bicycle 0 Thursday 0 Friday o Motorcycle 0 Saturday o Walks o Vanpool oDART Bus -_..... _------oDART Light Rail o Trinity Railway Express 6. What is your interest in RideSharing? (Shade Only One) 0 Regular 0 Occasional 0 Not Interested (Survey Only) 7. Based on where you live and the DART system routes, would you be able to commute to work on public transportation? 0 Yes 0 No 0 Don't Know • 11230 􀁾• Fox Number: Voice Number: From: ___􀁓􀀭􀀭􀁬􀁄􀁴􀀱􀁾􀀧􀁜􀁾􀂷􀁏􀀡􀀭􀀭􀀮􀀧􀀺􀀺􀀺􀁌􀀭􀁾􀁾􀁾􀁶u[􀁾􀁾􀁾___ fox Number: ',:?-N-l 7 '±3--:5 b1,1 Voice Number: DART Official Fax 1.(4;;"'/'\ 􀁾􀀠􀁇􀁾􀀼􀁪􀁙.. 􀁓􀁬􀁉􀁍􀀡􀁾S() IMtyou !;WI receive infOmlation on commute allemali_, Ijt\\l ClIII 􀁥􀁾􀁭􀁩􀁮􀁥and analyw your oplions, and ihen det;ooon whal is best for you, The decision10 Ri:leShare-be ilia save wear and lear on your automobile or save money Q'l 􀁾􀁧􀁢gas priCllfr is yours.. RideSharing may 01' may ilO! be lor you. but you owe itbl )'Ourse[ 1Cl e:tamlne the options, II you 􀁾any queslioos. pleaoocllil DART CooInuter Servioos at (214) 747ooRlDE, For OptimllUl aeeuracy. please print in eapitalletters using only ink and avoid contact with the edge of the OOL The foUowiog will sene as an example: 􀀩􀁁􀁬􀁥􀁬􀁣􀁬􀁯􀁬􀁾􀁉􀁆􀁉􀁇􀁉􀁈􀁉􀁉􀁉􀁊􀁉􀁋􀁉􀁌􀁉􀁍􀁉􀁎􀁬􀁯􀁬􀁰􀁉􀁑􀁉􀁒􀁉􀁓􀁉􀁔􀁬􀁵􀁬􀁶􀁬􀁷􀁬􀁾􀁉􀁾􀁬􀁺􀁬􀀠11m Nome l..t Name I I I I I I I I I I 􀁾􀁩􀁾􀁉􀀠􀁾􀁉􀀠􀁾􀁉􀀠􀁉􀁾� �􀁬􀁾􀁬􀁾􀁉􀁾􀁉􀁾􀁉􀁾􀁉􀁾􀀱􀀠 (I I [ I) ;.:-.,1--'-',I-I I 1 I I St"",1 Number sm.et NMII> Apartment NUmber I II I II I I 1 I I I I I I I I I [1_1t City ZIP CodeI I I I I I I" '::-"'1r-I􀀬􀀮􀀮􀀮􀀮􀀭� �􀀭􀀭􀀬􀁉􀁾􀁉􀀠I I II I I I I I WOO< Telepoon. Nul'lt>t)r Home Telepime Nurrter 􀀨􀁾􀁉􀁾􀁉􀀩􀀠[]]]-j I I I I At which number WDIIId you 􀁰􀁾􀁲􀁴􀁯be contactec!? a Work o Home Shade cin:les like this: • Not like this: 1x( <./1. What lime dD116 yourtypica\ [[J'[[J 0 AM 2, WltM lime does your typical [[J:[[J OAM Wtlrkday begin? • 0 PM workday end? OPU 3. What Is VOUr trJlifllll wark lIChedale? (SIIade In Only Ont) o My worK sGhedule is pretty much Ihe same every workday, a My sch!1du1e varies greatly every IWrk day. o My scIledllIe could va!}, wilhln 112 hour eaeh day. 4. Wilat days de> VOU tra¥1ll to ami from wortl"l (SlIadllln No MoreThan Five) o Sunday 0 Monday 0 Tuesday 0 Wednesday a Thursday 0 Friday 0 Satul1lay 5. How do YOII usualy travel to work? (Shade Only (1111) o Drive Alone 0 Carpool 0 Sk;yde o Motol'O)'Qfe o Walks OVanpool o DART Bus o DART lightRail o Trinity Railway Express 6. What is your interest In RidaShlring? (Shade Only One) 0 Regular 0 Occasional 0 Not Interested (Survey Only) 1. Based on when! YOlillye and the DART system muteti, would you lie able to commute to work on public transportatlon? 0 Yes 0 No 0 000'1 Know Drall 􀁾• . ---􀀮􀁾􀀠101811191 􀁉􀁮􀁾􀁳􀀺The purpose of IhlllllUNey is 10 det2lmine pa!lems ibr 􀁾􀁨􀁥􀁾􀀮By • colJ1llle1lng II1iS survey \lO thai you can ret.:eive aIIemaIives, you can examine and analyze your options, and then dilcide on what iii best fOl you. The decision to RldeSl1aJe..be ft 10 save wearand leal on your automolllle Of save molle)' on high gas prK:el>-is yours. RiOOShaJing may ormay 001 be for you, btlt you owe kto youmelf to examine the (jptlons. 1/you have any questions, p!eiiSl1:caII DART 􀁾SeNice$ at (214) 747-AlOE. For optimum accurAcy. please print in capital letters nsing only ink and avoid eontllct wit" the edge of the box.. The following will serve as an example: \ A \ eIc I0 IEo\ FIG IHili J I\( IL IMINI 0 Ip IQ IR\ S IT Iu IVIWi )( 1y 12.1 First Name WI NameI I I I I I I I I I I 􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀁾􀀱􀀠Ap_Numblor II11I11II11II1I111 [111111111111 CIIy ZIP Code 1 ! I I ! I I I r----""I...-,'--1,""--'1'----'1I I I w..t T.,hone NIIl1be1 HwlTfiep/Tone Number 􀀨􀁾􀁀􀀩􀀩􀀠1'--'-1""-'11-1 I I I I (III!> ,...-,-LI...,......,II-IIIII· At wlllch number would you prefer to be contacted? 0 Work 0 Home Shadaeirdeolil0 > 􀁑􀀫􀀽􀁾 0..0::::1E"5C/) wo.. en C o..... ICJ .: Instructions: The purpose of this survey is to determine company specific travel demand and commute patterns. By completing this survey so that you can receive information on commute alternatives, you can examine and analyze your options, and then decide on what is best for you. The decision to RideShare--be it to save wear and tear on your autornobile or save rnoney on high gas prices--is yours. RideSharing mayor rnay not be for you, but you owe itto yourself to examine the options. If you have any questions, please call DART Commuter Services at 747-R1DE (214-747-7433). Origin Information First Name Last Name Home Address OR Nearest Intersection ____________Apl#·____ ___________TX.City ZIP Work Phone (1__________________ Home Phone (\-__________________ At whiqh number would you prefer to be contacted? 1:1 W) Work 1:1 H) Home Current Travel Information 1. What time does your typical workday begin? am/pm 2.What time does your typical workday end? am/pm 3.What is your typical work schedule? (Check One) R) My work schedule is pretty much the same every workday. o F) My schedule could vary within 1/2 hour each day. o V) My schedule varies greatiy every workday. 4.What days do you travel toand from work? 1:1 Monday through Friday; OR check all the following that apply: 1:1 M) Monday 1:1 T)Tuesday 1:1 W) Wednesday 1:1 R) Thursday 1:1 F) Friday 1:1 S) Saturday 1:1 U) Sunday 5.How do you usually travel to work? (Check One) 1:1 C) Carpool 1:1 W) Walk 1:1 V) Vanpool 1:1 I) Bicycle 1:1 T)Taxi 1:1 M) Motorcycle 1:1 P) Public Bus 1:1 D) Drive Alone 6.What is your interest in RideSharing? 1:1 R) Regular 1:1 0) Occasional 1:1 S) Survey only (Not interested) 7.Type of car driven: 1:1 A) Large 1:1 8) Intemnediatel:l C) Cornpact ____miles8. Daily one way commute mileage: Thank you for completing this survey. The information will assist us in betterplanning for your transportation needs, .., Transportation Plan Town ofAddison Contents [J Introduction [J Survey Findings [J Commute Information [J Recommendations U ETC Job Description U Survey Sample I.J Sample Density Plot Map I.J Atlachments Introduction The following is a transportation plan for the Town of Addison. This proposal contains a summary of the results of a survey administered to the Town of Addison employees. DART would like to thank James Pierce. Assistant City Engineer, for his assistance in administering this survey. Survey Findings Employees returned at total of100 surveys of which 134 were usable. The following are highlights of the employee survey administered in February, 1999. Below are the results of the site analysis: \ Origin and Destination Information J • 14.18% have a trip origin within the City of Dallas • 55.97% have a trip origin within the DART Service Area • 29.85% have a trip origin outside the DART Service Area but within the Rldeshare Service Area (both DART and the 1) Commute Information • 61.9% start the workday betwcen the hours 017:00 and 8:00am; 65.7% leave work between 4:00 and 6:00pm; 67.0% work a regular work schedule; 33.0% work a nex schedule and 91.3% work Monday through Friday • 95.5% drive alone • 10.1 % rldeshare occasionally; 3.7% rideshare regularly • 11.1% would be able to commute on public transportation; 34.3% "Do Not Know" if they would be able to commute on public transportation ) Recommendations Based on the survey results, 14.2% of Town of Addison employees reside within the DART service area and have access to DART's bus/rail services. For the 56.0% of Town of Addison employees who live in communities within the DART service area but not dose to the services and those outside of DART's service area, consider vanpools and carpools. The Town of Addison's main concern on how to impact air quality and traffic congestion was presented to the employees as a question. Of the 134 employees surveyed, 34.3% of employees responded that they did not know if they would be able to commute on public transportation if a transit pass was provided by their employer, DART recommends a combination of rideshare options. Carpools, vanpools and public transit as well as education and information about the DART system. RIDEMATCH: By using the Density Plot Map, employees can be matched by zip code with other employees who live, work and share similar work schedules. Each employee surveyed will receive a personalized matchlist. This list can be used by the employee to contact fellow employees for ridesharing opportuniiies. VANPOOLS: Vanpooling is an option for those who choose to ride together and live longer distances from the worksite. Employees have a choice between an 8 passenger van or 15 passenger van. The $400 per month cost of the vehicle is divided between the riders. DART supplies everything, the vehicle, maintenance, a gasoline allowance and insurance. Town of Addison supplies the driver and the group. The DART vanpool can go anywhere as long as the work or home destination is within Dallas, Denton or Collin county. Vanpools can travel on the HOV lanes. This program can be subsidized by the employer and comes equipped with an Emergency Ridc Home. PASS PROGRAMS: Montllly PIISS Programs can be easily implemented with or without employer subsidies. Passes can be sold at the worksite. The passes are good for unlimited use during the calendar month. The passes are issued on a pre-payment basis with a return option on orders of II or more purchased per month. With company subsidies DART will give a $2 discount on every pass purchased. This program is a pre-tax benefit to your employees and a ta. write off to the Town of Addison. AnnulIl PIISS The E-pass is an annual pass program effective for the calendar year. Companies provide the pass as an employer benefit to the employee. Pricing is based on DART service and company size. This program utilizes group rate pricing to provide the lowest priced pass program available. Unlimited transportation on all of DART's fixed services. Includes an Emergency Ride Home. COMMUTER BENEFIT: The IRS allows employers to subsidize their workers' bus/rail passes and vanpool fares up to $65 per month per employee tax-free. The law is designed to promote the use of public transit by commulers. A transportation fringe benefit allowable by the IRS (IRS Section 132(1) allows companies to purchase monthly discount passes (through DART's Employer Program) annual photo ID buslrail passes (through DART's E-pass) andlor vanpool fares (through DART's van pool program) The first $65.00 of value is tax free. Private employers, non-profit organizations and public agencies can provide the benefit to employees ta.-free. Federal government employees and members of the military services are also eligible to receive the transit benefit. 10 98'00'97"5597"5097"4597"4097'3597"3097'2597"2097'1597'10' 97'5' 97'0096'5596'5096'4596'4096'3596'30'96'2596'2096'1596'10' 96'5' 98'00' l::l N , 􀁾􀀠􀁾􀀠􀁾􀀠'a 􀁾􀀠􀁾􀀠"\.. .r 1 [1, 􀁾􀀠'i' D?rr--\ 􀁾􀀠􀁾􀀠" I-,y"iJY "l i:l i«􀁬􀀧􀁾􀀠1\ ffi f! I--Lr--vr'i{ """'.;00. " 􀁾􀀠1 \ , /􀁾􀀠'" rv '£1 -􀁾􀀧􀁵􀀠2'-1::4 ... ,.. '" " '" 􀁾􀀠􀁉􀁾􀀠NT'l t::: ,J ui lIT .. I """":b g .""........... !r ----'\.. L= 1..hJ'1 I"'" Ji 'J ' :. .r V "" , l::l '" -'" !'to. 􀁾􀀮􀀺􀁳􀀠." 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""" <: 􀁾􀀠,.}.,. § 􀁾􀀠I' 􀁾􀁾􀀠, J. 􀁾􀀠􀁾􀀠0 10 􀁾􀀠w ,N '" 􀁾􀀠,'" 􀁾8, 􀁾􀀠, N g . 􀁾􀀠􀁾􀀠􀁾􀀠􀁾'" 􀁾􀀠, 98'0097'55'97'50'97"45'97'40'97'3597'30'97'25'97"2097'15'97"10' 97"5' 97'0096'5596'5096'4596 '4096'3596'3096'2596'2096'1596'10' 96'5' 96'00' TOWN OF ADDISON + Employee Transportation Coordinator (ETC) WHAT IS AN ETC? In an effort to work with area employers in developing and implementing employee transportation programs, a link must be established at the employer level to ensure that employee-demand services are delivered. This vital link is the Employee Transportation Coordinator (ETC). WHY HAVE AN ETC? Technology alone cannot fix our traffic problems nor clean the air we breathe. Neither can we spend our way out of these problems. While technology and dollars are essential parts of tbe eventual solution (more efficient engines, alternative fuels, traffic flow improvements, etc.) tbese problems also require that we change the way we are accustomed to getting to and from work. But changing habits is hard to do. What we need are personal "change agents," or ETC·s. The ETC's provide the human toucb nceded to remedy our traffic congestion and air quality problems. With thc exception of a few dedicated self-starters, new RidcSharc arrangements are unlikely to form without the personal intervention of an ETC. Simply distributing RideMatcb lists generated by a computer is insufficient. RideSharing arrangements personally initiated and implemented by an ETC are far more likely tosuceced. WHAT DOES AN ETC DO? • Personally assists employees in selecting and utilizing a commute method that fits tbeir individual needs. • Sbows cmployees how to save moncy througb reducing commuting costs, such as parking, fuel maintenance, insurance, etc. • Assists employees by making them aware ofth. conveniencc and comfort of commuting by avoiding tbe hassles caused by driving alone. • Assists to increase company productivity and improve employee moral by reducing employee stress, tardiness, absenteeism and turnover associated with commuting difficulties. • Assists to improve the eompany's ability to recruit and retain skilled employees by 􀁥􀁾􀁰􀁡􀁮􀁤􀁩􀁮􀁧􀀠access to skilled workers throughout tbe area. 􀀮􀁾􀀠! 􀁾􀀠11230 II I-lnlj j ----_. ArSnisoN me. '® • Instructions: The purpose of this survey is to determine company-specific travel demand and commute patterns By completing this survey so that you can receive information on commute alternatives, you can examine and analyze your options, and then decide on what is best for you. The decision to RideShare-be it to save wear and tear on your automobile or save money on high gas prices-is yours. RideSharing mayor may not be for you, but you owe it to yourself to examine the options. If you have any questions, please call DART Commuter Services at (214) 747-RIDE. For optimum accuracy, please print in capital letters using only ink and avoid contact with the edge of the box. The following will serve as an example: First Name Last Name Slreet Number Street Name Apartment Number I I I I I I I I I I I I I I I I I I I City Work Telephone Number ZIP Code I I I I I Home Telephone Numb": • (1917121) ""'-11-'-'1I-I I I I I (II II) ""'-11'---'11-1 1 1 1 I At which number would you prefer to be contacted? o Work o Home Shade circles like this: • Not like this: 􀁾􀀠<:/1. What time does your typical 2. What time does your typical OAM'[00AMworkday begin? workday end? [0:[0• OPM OPM 3. What is your typical work schedule? (Shade In Only One) o My work schedule is pretty much the same every workday, o My schedule varies greatiy every work day, o My schedule could vary within 1/2 hour each day. 4. What days do you travel to and from work? (Shade In No More Than Five) o Sunday 0 Monday 0 Tuesday 0 Wednesday 0 Thursday o Friday o Saturday 5. How do you usually travel to work? (Shade Only One) o Drive Alone o Carpool o Bicycle o Motorcycle o Walks OVanpool o DART Bus o DART Light Rail .0 Trinity Railway Express 6. What is your interest In RideSharing? (Shade Only One) 0 Regular 0 Occasional 0 Not Interested (Survey Only) \. Based on where you live and the DART system routes, would you be able to commute to work on public transportation? 0 Yes 0 No 0 Don't Know • 11230 􀁾• T DAllAS 7li248 DAllAS 75229 CARRou.rON 7&lO7 MOlSON 75OIl1 CORlNnl 7G208 PlANO 75074 LITTLE ElM 15068 OA!.LAS 1521Jl PLANO 7oo7!;) ADDISON 7QiJ01 ADDISON"· 75001 IRVING 75062 ADDISON 75001 DI>iiAs 15287 DAl.lAS 75248 LEWJSVlli.E 75067 ...._POINT 75472 WHITESBORO 76273 􀁾􀀠-_...---ADOlSON 75001 800A 6VVP DALLAS 75240 i:iiJA &lOP GARUIND 75040 700A 4301' ALLEN 75002 jooA 430P tiiiilAs 15224 700A 4301' RlcHAADOON 751)00 701lA 4301'....__..... DUNCANVII.I. 75137 530A 4.'lOP CARROu..TON 75010 70M 430P FARMERSBR75234 700K· 4301' IRVING 750So 700A 500P OA!.LAS 75217 700A 4301' ·"ADDJSON 75244 700,0\ 4:lOp._FRISCO 75034 70M 4301' GARLAND 75041 700A «lOP--WYLIE 75098 70GA 43Q1' PUlNO 7!fI.J75 IIOIlA 500P FRI-BCO 76O&i 800A 5001' "ADDISON 75248 OOOA GooP ADlJISOI'4 7lro1 800A QiJOP DENTCN 7lI2!l1 ri.lA 4301' PI.ANO 7li075 CARRou.i"ON 7!:m6 􀁡􀁏􀁏􀁾􀀠500P 830A 530P cARROLLTON 'iii1o 900A 6OOP"-R10HAROeON 75000 SOOP 600A Town of Ad 33' 'f' VANESsj,,'iiBNZERLlNG 􀁾􀁊􀁉􀁏􀁏􀀠VERON!\CT PlANO 75093 800A 5OOP-iiifOO'-'32" 59-TIMiJ'iiiviiiYFs' 4!;OO SOJOURN ui;:---'--ADDISON 75001 1000" lOOP 96" 4rf33' rr MARiS-ai. MlRSKY--'" .4OOsH.WERWOOD lAIIIE ----'DAi:';;·7.':U:::'AS'.. 752IJT 800A 500P 96' 42" -32' 􀀵􀀶􀁾􀀧􀀢􀀠AL"" TORRES-' , "4022 LlNDENwOOOU'l . GARlAND 7S1l42 630A 3:lOP 96' 59'-'3:}' W PAMELA STORAci ' 1231 OAK VIEW OT OAK POINT 75068 815ft.' &lOP 96' M' J2' 􀀢􀀵􀀹􀁾􀀧􀁍􀁁􀁒􀁉􀁌􀁙􀁎􀁌􀁅􀁂􀁌􀁁􀁎􀁃􀀧􀀭23010AAWOOD CARRou.TON i'5OO6 ilOOA 500P 98'46"-':F, 􀁾􀁾􀀬􀀬􀁊􀀮􀁃􀁍􀁛􀁜􀁪􀁎􀀭􀀭􀀧􀁾􀁾􀀬􀀡􀁈􀂷􀁾􀀧􀀠2103 PROMONTORYPT PlANt)' 75075 800A --o500==P-00' 44' 33' 4' MADI!LINE\-IARiMAN 􀀱􀀱􀀡􀁚􀁾􀀠WA1.TERI> OR Pl.Atto 7&>23 800A 500P 96' 54' 33; I' '-DAVE"" WiLDE 1711 SOiiTHAMPTON DR CARRoLLTON 75007 i'9JA 430P 96'55' 33" 5'''-';;:LYSSA 'HERNANOEi" 5!iIl9 SAGER DR '" mE COLONY 75056" 800A 5OOP-'00' 53' 33" 0' 0' 'DONALD-GIBSON . '1820 EPETERSCOlONY CARROLLTON '1"soi17--aiiiiA-&lOP 96' 45' '32" fiI'''JEFFREY KING---721 WSElTUNE Rl} '. RICHARosoN 75080 730A. 43CP 56' 50" '33' 0' Al----bEI·j(---'4223 MILLVIEW DALLAS75W 􀁾􀁁􀀠43!JB BS'.we ii' ·4· ....CARMENMORAN 223'3 GHiu:iBOI)RNE PLANO 7502a 1iooA &lOP 96'47' a:.i" 58" RAE' ---ARMSTRONG 1S744 TERRACE LAWN lJAll.AS 75248 815A 􀀵􀁩􀀵􀁐􀁾9§' 45' ;P', 􀁊􀁾􀁩􀀡􀁩􀁅'" DIFIGLIA 3332 BUCKlE LN ' PLANO 7502a 800A mop 97' 2' 33' 2" ANDREW EMS 'i2i4SPRINGWOOO DRIlie L6WISVlUE 7f1Jfil OOOA OOGP 96' 42' 3;>, 57"' TAMMyfRMli(s-' 1109 SHADYGlEN CIRCLE RictwIDBON 15M1 SOOA 500P 96' 41' 33' '3;;-MiCllELLEGARlA ------:r-Biili SPRING CREEK PKWY RANO 15074 600A oooP' -'00-'420 33'-' 2" SANORA'"GOFORTH 1617 JASMINELN PLANO 7flJ74 saM -GOOP '00' 42' 32' 56" RANDOLPMoRAVEC' 1323 'OONBARTON'i:JR RICHARDSON r5ll81 a1DA. 6OIJP-86' 50' 3]' 59' -MIHOK' suii'--' 16951 ADDISON RO ADOISON 1lil101 730A soar 􀁾􀀮􀀰􀀳􀂷􀀲􀀺􀀻􀀭􀀺􀁊􀁜􀀮􀁉􀁉􀀿􀁘􀀮􀀬􀀢􀁔􀁁􀁙􀁬􀀮􀀬􀁾􀁾􀀮􀀠_1109 (AliMA TRAIL t':ARROUTON 75010 13IlA 530::.;P__ .00'" 55' 33', 6" MARK, __:"CEVI:OO AWl MA1.ONE AVE mE maNY 7505ll IlOOA .-;:600,==P__ 90' 55' 33' S' MARK !lROCf'ITRUP 4125 CAWwEU THE ColONY '7S1;s ntJA" 500P 96" 41i-32' 54,'ciiRlS 'EVANS----.. , 1422Bi.UE BIRO !..ANi: GARLAND 7&l42 IlOOA 6001' -W 􀀳􀀹􀀢􀀢􀀳􀁚􀀻􀁾􀁯􀁩􀁯􀀧􀀠>'VIii.-'-GIl.LElAND "2014 SYLIIAlf GARLAND 75U4O eoOA 500P 96' 53' 3T 55" 􀀧􀁊􀁏􀁈􀁾􀀠GODLEY' 1271& EPPS FIELD RD '6Au.A,s 􀁾􀀠81DA 515P 'gV:44·3i·...S7· oON ""GREENE"" 3113 HillCREST RICHARDSON 7&l81 i4M!IOOP 00' 41< '3;?"'5F' THOMAS 􀁈􀁩􀁾􀁳􀁳􀀭􀀧􀀱􀁩􀁩􀀰􀀵􀀠WINDSONG RltlHAA!)SON 75()s1" 620A 6OUocpc-96;'49D'""32,"57' NOEC'---PADOEN----· -5600 PRESTON OAKB ROAD IWJ.AS 7SlJIll BOO" 6IlllP 96' 39' JJ" 0" LOYD -CAMPBELL 1312 'WOODMONT ALLEN 75002 700A 70DA '96"0'-"3'2'""44' REJi.G,;;N'RANDilli ,-0 BoX 115 Wlti.SPOINT 151fi9'700A 700A 00-47' n' 9" iA'iiRY SPAAKg--11304' CREEKWOOD bRlVE FRJ6CO 􀀷􀁜􀀧􀁩􀁬􀀩􀁾􀀵􀀠63OA700c::,>A:'-90' 54' a3"'1';--MICHEl'-MlicHELi:--'irii !lOUTHMiPTON CARROLLTON lS.107 80M 700A -gs. 51° :Jio 50" EO--. MCCARI..EY ,. 4fl10 BRooKHAVEN ClUB ADOISON 75244 97'5i -'32"';12" IlARRy-iAAKIN--' "1714 p/UJ'.1WooO m ARUNGTON 76014 9if39o 32" 56' "SHERyL DONIHoa' "--1902 WrATT GARlAND 75040 ill>' fi1" 32' 35" MAX' "STEADHAM 􀀭􀀭􀁾􀁪􀀨􀁪􀀠SHORr ST CellAR HILL 75104 700A 􀁾􀀧􀀠33' 44''''JEFF·' SMALLWOOD 441 EARL rID SADlER .... 􀀷􀀶􀀻􀀭􀀽􀀲􀀶􀀴􀁾􀀭􀀽􀀶􀀧􀀺􀀺􀀻􀀳􀁏􀁁􀀺􀀺􀀺􀀧􀀺􀀢􀀢􀀻􀀷􀁦􀁊􀁏􀁁􀀺􀀺􀀻􀀻􀀻􀀢􀀺􀀧􀀭'9S'-58"32' 49" rEx .... JENNINGS' '-"9J2APiiETREi!' . IRVING 75001 BOOA 7oilP-00' 411" 32' 32" Kilty 'i ?!:,jHIRi.'E.Y...􀁾􀁇􀁯􀁎􀁉􀁎􀁩􀀳􀀭􀀭􀁲􀁮􀀹􀀹􀀠COPPERiiiITO R __-=DAW\S, ._-_-_-,-:',752::="48:--'8O\l=";;.' !illP 2: , I Town of Addison· Master List \ 3 Attachments 1. Sign up Sheets a. Vanpool b. Discounted Monthly Pass c. Carpool 2. Vanpool ApplicationfForms 3. Monthly Pass Programs Letter of Agreement 4. Order Forms/Contracts a. Discount Monthly Pass b. Discount Pass By Mail c. Pass By Mail d. E-pass DART FARESHARE SIGN-UP FOR V ANPOOL PROGRAM 1. ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE 10. ZIP CODE n. ZIP CODE 12. ZIP CODE 13. ZIP CODE 14. ZIP CODE 15. ZIP CODE 16. ZIP CODE 17. ZIP CODE ZIP CODE ZIP CODE ZIP CODE \ DART FARESHARE SIGN·UP FOR DISCOUNTED MONTHLY PASSES Name Local Premium Other 1. 􀁾􀀮􀀠􀁾􀀮􀀠􀁾􀀮􀀠5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. '\ } 1. S. 6. 7. 10. 11. 12. 13. 14. 15. 16. 17. 18. 9. O. DART FARESHARE SIGN-UP FOR CARPOOLERS ZIP CODE ZIP CODE ZIPCODE_.... ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE ZIP CODE l' , Enterprise Rent-A-Car Vanpool Program Instructions (Don't Return This Sheet With Your Application) If you have any questions, please call Steve Meyer at 214-749-2615. Please read and follow the instructions as all forms need to be filled out completely and. where necessary. signed. You may have as many Additional Drivers as you wish and you may add more at any time. For reporting puposes, we do need complete information on all passengers. A new passenger roster should be completed and sent each month with the monthly payment. When all paperwork is filled out. it is quickest to fax the information to Steve Meyer. DART Van pool Coordinator, 214-749-3669. You may also mail the completed paperwork to Steve Meyer, Dallas Area Rapid Transit, P. O. Box 660163, Dallas, Texas 75266-7246. The van cannot be ordered until all information is complete Route Information Instructions The stops should be listed in the order in which the van usually travels to work, beginning with the point where the vehicle is kept. The stops should be listed with an identifying name, where possible, as well as an address or intersection, city and ZIP code. An acceptable listing would be "First Baptist Church, First and Maple, Forney 75126." Unacceptable would be "Forney." You may add as many intermediate stops as needed. Please provide your daily round-trip mileage as accurately as possible. If you are unable to provide you mileage, send a list of the streets and highways taken along your route so that we may calculate the mileage for your vanpool. The route information is needed for two reasons. First, the information is placed in DART's RideShare database so that callers with similar commutes may be matched with your vanpool. The second reason is that the route information determines the level of Federal and local subsidy for your vanpool. Enterprise Rent-A-Car Van pool Application PRIMARY DRIVER Type or Print AU Information 'Sonallnformation; You must list at least 3 Years. of residence and employment history. Use separate sheet if necessary. PRIMARY DRIVER INFORMATION IFlrstName Middle Last IHome Phone Number Social Security Number Street Addre•• City State ZIP Years at this Address Previous Address (If le.s than 3 years) City Stale ZIP Years Employer Name Address City Stale IZIP :Position Type of Business Annuallncom& Employment Work Phone Yrs. Months iFormer Employer (ff 1"$$lIlanS-Years with current employer) Type of Business Annuaffncome Employiiient Yrs. Months . DRIVER'S SPOUSE INFORMATION Spouse'. Name: ul.t, First, Middle I Social Security Number Driver License Number Phone Number ..... Employer Address Employment Annual Income Yrs. Months :Neare.t Relative Not Living With You: Name, Addre •• (Area COOe) Phone Number Relationship DRIVING INFORMATION (Primary Driver) Binhdate Driver License Number State Expiration Date Total Years Driving Experience Total Years licensed in State If licensed less thana Years, list Previous State(s) Name & Address of Your Automobile Insu-rance Company 'Your Automobile Insurance Policy Number : Number of Moving Violations in Last 3 Years Number of l'At Fault" Accidents in Last :3 Years 􀁾􀀮􀀠AUTOMOBILE INFORMATION Year, Make, Model Lien Haider Purchase Price Monlllly Payment Current Balance I certify that the above statement and supporting schedules, if any. are complete and accurate as of the date indicated. I authorize Enterprise Rent-A-Car to investigate my credit. driving record, and employment history in connection with the establishment, maintenance, and collection of my account. . Signature of Applicant Date ) Signature of Spouse (if applicable) Date ! ! , , : Enterprise Rent-A-Car Vanpool Application DARTU... , ADDITIONAL DRIVER Name of Primary Driver: __-::-:--:-:-::-:-;--:-;--------Type or Print All Information Person.llnfonnalion' You must list all.a.13 Years of residence and employmenl history Use separate sheet if necessary I ADDITIONAL DRIVER INFORMATION FirstName Middle last Home Phone Number ISocial Security Number Street Address City IState ZIP Years at thJs Address Previous Address (if less than 3 years) City State ZIP Years Employer Name Addre.s City Slate IZIP Position Type of Business IWork Phone Annuat Income Employment Yrs, Months Former Employer (ff less than 3 years with current employer) Type of Business Annual Income Employment Yrs. Months DRIVING INFORMATION Birthdate 15rlver License Number State Expiration Date Total Years Driving Experience Total Years licensed in State If Licensed less than 3 Years, list Previous State(s) Name & Address of Your Automobile Insurance Company Your Automobile Insurance Policy Number Number of Moving Violations Violations in Last 3 Years Number of "At Fault" Accidents in last 3 Years AUTOMOBILE INFORMATION Year. Make, Model Lien Holder Purchase Price Monthly Payment Current Balance I certify that the above statement and supporting schedules, if any, are complete and accurate as of the date indicated. I authorize Enterprise Rent-A-Car to investigate my credit, driving record, and employment history in connection with the establishment, maintenance, and collection of my account. Signature of Applicant Date , I Enterprise Rent-A-Car Vanpool Program DART Use: VANPOOL PASSENGER ROSTER Name Home/Mailing Address Work Phone Home Phone Captain: Co-captain/Passenger /co-captain/Passenger Co-captain/Passenger Ico-captain/Passenger Co-captain/Passenger fc;o-captain/Passenger !Co-captain/Passenger teo-captain/Passenger !co-captain/Passenger !Co-captain/Passenger fcc-captain/Passenger !co-captain/Passenger !Co-captain/Passenger rco-captain/Passenger !Co-captain/Passenger ,).captain/Passenger I Enterprise Rent-A-Car Van pool Program The Vanpool's Regular Route to Work .lily Roundtrip Mileage: ________ The Captain's Home or where the van is kept when not at work: 􀁬􀁯􀁣􀁡􀁴􀁾􀁮􀀺􀀠__________ _________________________________ Address: ____________________ City/ZIP: _________ On the trip to work, the Van leaves here at ____ 0 AM /0 PM On the trip from work, the Van returns to here at ______ 0 AM /0 PM Indicate all intermediate stops beillveen home and work. Use extra sheets if necessary. QStop #1 (check if needed): On the trip to work, I 0 pick up /0 drop off passengers at this location location: _____________________________________________ Address: ___________________ City/ZIP: _________ On the trip to work, the Van is at Stop #1 at __:__ 0 AM /0 PM On the trip from work, the Van is at Stop #1 at __:___ 0 AM /0 PM QStop #2 (check if needed): On the trip to work, I 0 pick up /0 drop off passengers at this location location: _____________________________________ Address: ____________________ CityIZlP: CityIZlP: __________ On the trip to work, the Van is at Stop #2 at __:__ 0 AM /0 PM On the trip from work, the Van is at Stop #2 at 0 AM /0 PM QStop #3 (check if needed): On the trip to work, I 0 pick up /0 drop off passengers at this location location: _________________________________________ ___ Address: _________________________ City/ZIP: _______________ On the trip to work, the Van is at Stop #3 at 0 AM /0 PM On the trip from work, the Van is at Stop #3 at 0 AM /0 PM QStop It4 (check if needed): On the trip to work, I 0 pick up /0 drop off passengers at this location location: __________________________________________________________ Address: _____________________ City/ZIP: _________ On the trip to work, the Van is at Stop #4 at 0 AM /0 PM On the trip from work, the Van is at Stop #4 at 0 AM /0 PM Where you work or where the van is while you work: location: ________________________________________________________ Address: ____________________ City/ZIP: _________ On the trip to work, the Van arrives at work at 0 AM /0 PM On the trip from work, the Van leaves work at 0 AM /0 PM Enterprise Rent-A-Car Van pool Program DARTvan Rider Agreement Date: _,_--,,__ Captain: ______________ As a passenger in the DARTvan Program, my signature at the bottom stipulates that I understand and agree to the following: Vi Participation in the DARTvan Program is entirely voluntary. 17; The cost of the vanpool is subsidized by federal and local tax moneys based upon the number of passengers in the van pool and miles traveled. For this reason, accurate, complete and up to date information is essential. Ql It is important that I follow the van pool group's "Rules of the Road." Ql It is important that I am punctual. The van will only wait for the amount of time established in the "Rules of the Road." Ql It is my responsibility to do all that I can to ensure a safe operation of the vanpool, including wearing my seat belt. QJ I am only able to use the Emergency Ride Home (ERH) service twice in each calendar quarter. QJ I am expected to give thirty days notice before leaving the vanpool. QJ It is my responsibility to help recruit new riders. QJ The rules of the DARTvan program include no smoking in the van at any time, all occupants will always wear their seat belts and alcoholic beverages are prohibited in the van. V1 It is my responsibility to pay on time. >7] It is my responsibility to notify the Captain as soon as possible when I will be unable to make a commute in the van. V1 It is my responsibility to comply with reasonable requests of the Captain. ::l! It is my responsibility to keep the van clean by taking out everything that I bring into the van. Passenger's Name: Printed Signed Instructions: Please copy this form and have it signed by each rider. Give the signed copies to Enterprise when the van is delivered or as new riders join the van pool. It is recommended that the rider also keep a copy of the Enterprise Rent-A-Car Vanpool Program UNINSURED/UNDERINSURED MOTORISTS and MEDICAL PAYMENTS INSURANCE ELECTION FORM As an added service, we offer UninsuredlUnderinsured Motorist and Medical Payments Insurance coverage. The insurance is for the vanpool as a group and the amount of coverage is for each accident. The extra cost (if any) is payable each and every month that the vanpool is in operation. In order to purchase this extra insurance coverage, simply check the desired level of cerage and fax the form to us along with the applications, route and roster. The charge for the level of coverage you select will be in addition to the basic monthly payment. Van Pool Uninsured/Underinsured Motorist and Medical Payments Insurance coverage Rates Amount of Coverage Cost per Month per accident for the Van pool Group CI ............... $100,000 Included in Basic Rate CI ............... $500,000 $11.21 per month CI .............. $1,000,000 $14.27 per month The added cost (if any) will be the responsibility of the van pool members (and not that of DART or Enterprise Rent-A-Car). Simply include this amount with your regular monthly payments. By my signature, I hereby agree to pay the corresponding monthly premium indicated above. Primary Driver: printed name signature ) 􀀧􀀮􀀧􀁎􀀻􀀬􀀮􀀧􀁾􀀠like to porlicipate in aDART Employer Program and intend to moke avoiluble to our employees your locol ond premium monthly IUS posses at the job site. 'lease check the oppropriate box indicating your choice. 1 Discount Monthly Pass Progrom We agree to purchose the posses directly from DART ot 0 52.00 discount each and fUrlher agree to discount each puss ot least $2.00 more. We understand thot arelum option opplies for orders of 11 posses or more. 1 Dis(ounl Pass-By-Man Progrom We agree to purchase the pusses directly from DART ot a$2.00 discount each ond further agree to discount earn pass at least $2.00 more. We understand there is no return option since we are ordering 10 posses or less. 1 Pass-By-Mail Program We agree to purchose the posses directly from DART at the retail price with no expectation of subsidies. We also understond that there is no return option with this program moice. Amount your company is subsidizing (per pass) lome 01 Company Official Number ot Employees in Company locol Monthly Poss ignature Nome of Person to Receive Order ompany Nome Phone NlJmber loiling/Delivery Address Dote ily Zip Accepted by DART Premium Monthly Pass Reduced Monthly Pass locoill-Ride Bonus Pak Premium II-Ride Bonus Pok Reduced II-Ride Bonus Pak Parotronsit 10-Pok Stickers AGREEMENT,)E-Pass New 0 Date of Application: RenewalO Submitted By ____________--,=,--lnilia! Applicant: ________________􀀧􀀷􀀮􀀺􀁣􀀺􀀺􀀺􀀭􀀺􀀭􀀻􀁾􀀽􀀺􀀽􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭􀀭Name of Organization Contact: Name Title Telephone Billing Ad,dre';s:----;;c=----______---;;;;:::-________---;;::::-___-;;c:-__ 􀁅􀁭􀁰􀁬􀁯􀁹􀁥􀁥􀀮􀁾􀀠SLA 1-24 25-249 250+ Annual E-Pass: 1-----E-Pass Adjustment ( ERH Adjustment Sub-Total $5 Photo Fee L_____ $ $ $720 Contract Minimum Adjustment I--""'----------l ·Includes Emergency Ride Home Total 1..:::-_____-' DATE OF APPLICATION: The Term of this Agreement shall be from,______ through December 31, ___. The Applicant agrees to pay the total due under this Agreement prior to approval and execution of this Agreement by DART. Acceptance of payment does not constitute DART's approval and acceptance of the Agreement By signing this agreement, the Applicant's Agent represents that helshe is properly authorized to execute this Agreement on behalf of the Applicant, has read this Agreement including the tenus and conditions on the reverse, and intends and agrees to be bound by this Agreement MAIL TO: DART Market Development & Sales -P.O. Box 50279 Dallas, TX 75250 Applicant Approval DART Approval Signature :..J Printed Name Date Signature Printed Name Date Title Copy: White: DART Yellow: Employer (ETC) Pink: Revenue E-PASS TERMS AND CONDITlONS 'lhis Agreement. made between the ApplicaJlt named herein (hereafter "Applicant') and Dallas Area Rapid Transit, (hereafter "DARf"). sets out the terms and conditions under which. the Applicanf agrees 10 purchase E·Pa.sscs from DART. E·PASS D£FlNlTION AND USE. An E-Pass is a photo ID. issued by DART or the Applicanl with a valid DART-Issued E-Pass decal attached. When displayed. the E·P"" will rulow '" E1igib" Employ", 10 "de 'reo on all P"" ofDART', r",,,,, nmOO """p,""'lion 'y_. DAIIT', "Ed roUIe _"""on",,!em includes ;egu"",y 􀁾􀀬􀀠scheduled bus-service, the light rail system and the commuler mil system. The E-Pass is not valid On any special services operated by DAKT 1M its contractors. induding the ) DART Ayer, charter services, and parnuansil services. PURCHASE OF E-PASsES. The Applicant agrees to purchase E-Passcs (or oU E1isI"ble Employees. The Appliearu may not reseU E-Pa.$Ses to Eligible Employees for a profit. E-Passes may nOt be given, resold, or otherwise prOvided to to persons who are not Eligible Employees. Each E-Pass slmIl expire on J:>uember 31 of the calendar year in whieh it is issued. ELIGmLE EMPLOYEF..s. ''Eligible Employees" are all full·time employees, owners, partners, including executives. nlanagemeni. and staff. an F..mployment Location. The Applicant may. at its sole oplion, include all iLS part-time and temporary employees as Eligible Employees. Independent contr.J.Cton; of the Applicant are not Eligible EmpJoyees. PanicipanlS in DART Vanpools will be exempted from participation. EMPLOYMENT LOCA.TlON. "Employment Location" is a single address, place of basirwss, or I(}(;ation at Which Eligible Employees work or conduct business on behalf of !he Applicant. An AI?plicant may haW! more than one Employment Location. The Employment Location fOf II telecommuting employee is !be address, place ofbusiness or JOCJ\tion with which "such employee has prilniU')' conl(:aet or to which the employee reportS. A residence qualifies as an Employment location only if it is is the primary place ofemployment for Ihe Applicant's Eligible Employees. DART-ISSUED PHaro J.D. At the request of the Applicant, DART will issue a pho{() 1.0. to each Eligible Employee. The Applicant agrees 1.0 pay DART $5.00 for each sucb photo LD. Photos for DART·issued photo 1.D.'s may be taken at each Employment Location at a time agreed to by DART and the Applicant. Any future 1.D.'s will be Vlken at DARf's Abrd Station Retail Store after appoinunenl has boon made. lbe DART-issued &Pass decal will be affixed 10 DART·issued phOl0 tD.'s by a DART 􀁲􀁥􀁰􀁾􀁯􀀻􀁥􀁮􀁴􀁡􀁴􀁩􀁶􀁣􀀬􀀠APPUCANT-ISSUED PHOTO LD. DARf·fssued E·Pass decals shall be affixed to Applicant-issued photo J.D. cards only by an authorized agent of the Applicant and not by the Eligible Employee or any other person. The employee names will be sem to DART on a 3.5 computer disk as a DBF file, formatted with three columns. (fust naQ'lC, last name. decal number) or call (214) 􀀷􀀴􀀹􀁾􀀲􀀵􀀱􀀴􀀠fur other alternatives. . , REQUIRED OOCUMENTATION. TIm Applicant shaH maimain an lnvefltruy of E-Pas.ses held by Eligible Employees. The Applicant is required 10 submit such official docUmentation 10 DART as DART in iI's sole discretion may requite in oroer to verify the oUttiber ofEli.gibJe Employees at each Employment Location. DART reserves lhe right 10 audit lhe numbec of 􀁾􀀡􀁧􀁩􀁢􀁬􀁥􀀠Employees by EmpJoyment Location, $720 CONTRACT MINIMUM ADJUSTMENT. If the total ofall fees is less than $720, the minimum fee will be $720. PAYMENT TERMS. Paymeru in full fofall E-Passes and processing fees shall be made when this Agreement is submlued by Applicant 10 DART unless a payment scbedule is agreed to by DART and incorporated in writing as a part of mis Agreement. The Applicant and DART Ilgn!e that acceptance of payment does not eonstitute DART's appro,"-a( and acceptance of theAgrumetlt. DART wiU Issue a refUnd cbeck to tim: Applicant in the event the Agrctmlent is not approved and accepted. I( any scheduled payments are not made when due DART may oonsider Applicant 1.0 be in defaull Md, at DART's sole option, eance! and re'.'Oke E-Pa5'leS held by theApplic.ant or its Eligible Employees. DART may, at its sole option. extend the p.lyment due date and clliifgC iotelest at the rme of 1% per momh on the entire remaining balance due. ADDmONAL ELIGmLE EMPLOYEES. The Applicant agrees 10 pay a prorated E-ftass value for each additional Eligib!e Employee. TERMINATED EUGmLE EMPLOYEI!S. The Applicant shall provide DART with a Jist. postmarked before lhe 15th. of Eligible Employees who were terminated along v,1th each terminated Eligible Employee'!; caneeled 􀁄􀁁􀁒􀁔􀁾􀁩􀁳􀁳􀁴􀀮􀁲􀁥􀁤􀀠photo LD. or dmt portiGfi of an Applicant-issued phOlo LD. with the DART·issued E*P:.!.ss decal affixed. Upon receipt of the returned E-Pass, DART wm provide a replacement E-Pass for a new Eligible Employee identified under ''ADDITIONAL ELrGmLE EMPLOYEES" for the remainder of the Icnn of this Agreemen! at no chnrge to Ihe Applicaat., e.lCcepl for photo fees uuder "DART-ISSUED PHaro J.D." Crolits wilt only be given ifa permanent redoctjon in work force has occurred, based on an officially and legally verifiable documentation. No cash refunds will be made unless this Agreement is not renewed. REISSUE OF LOSf OR STOLEN E-PASSES. An Eligible Employee's lOSl or 􀁾􀀱􀀰􀀱􀁥􀁮􀀠E-Pnss wiU be reissued hr. DART only when reqnested and authorized by the AppUc.ant. Th!!c rl!Quired reissue fee must accompany such request. Th!!c fee fot reissuing a lost E-Pass: the first lime is $25. fbe fee for reissuing a stolen E-Pass the first tirne is $5 if the request for reissue is accompanied by a verifiable police report, but is $25 if the request is nO{ accompanied by a ycrifinb!c police reprut. The fee for reissuing a lost or stolen E·Pass the second time is $50. An &Pass will notbe reissued more !ban two times, Reissue fees Me not refundable under any cireumstance.s. Any found DART tD:" should be relurned 10 DART Markel Development & Sales, P.O. Box 50219, Dallas, TX 75250, EMERGENCY RIDE HOME. The Applicant's Eligible Employees ate enlided to use the Ernergerrey Ride. Horne (ERH) program adminislered by the Central DalL,,, Aswciution Transportation Management Association. Each employee is eligible for 2 trips per quarter of 50 miles one way from wurk-sile. The Applicanf may opt out of the ERH program only althe lime this Agreement is ex.ecuted. The ERH pmgrnnlls nO' available to Eligible Employees if lhe Appli<:ant has cfw5cn to opt out of !be ERH program in IruS Agreement. CHANGE OF EMPLOYMh'NT LOCATION. The Applicant must notify DART in writing wimin 30 day... if the Applicant changes ooe or more participating Employment Locarions at any time during the term of this Agreement. The Applieant agrcc.s to pay to DART the prorated increase of al! E·Passes if IlK: nev.' F.rnp!oymcnt Location is in a higher service level area. The Appllcanl will receive a prorated credit if lhe new Employment Loca!iOn is in a lower service level area. UNAUTHORiZED USE OF E-PASS. DART retains the right to confiscate the E-Pass or pursue pursue claims. demands. or lawsuits again".. or seek prosecution of, any person who duplicates, aUers, or commilS lm:ruthorizcd use {If an &Pass. DART agrees not 10 pursue any· stich claims, dcmands, or lawsuits against the Applieant unle.'Ss web unauthorized duplication. alteration or use resulLS from the intentional acts, ·gross negligence Or willful misconduct of the Applicant. TERMINATION BY DART. DART mal' terminate this Agreement or cancel aoy or aU E-Passes if il has rearon 10 believe that informalion provided by the Applicant has been falsifIed or E-Passes have been furnl$hcd to persons other than Eligible Employees. Thmllnation is effective when DART's written notiee of termination is delivered to Applicant. 'The Applicant's sole remedy for sucb tt:rmiruHlon shaH be a refund for all cancelled E-Passes that are relurncd to DART, pro-mted for the number of mon!bs of remaining available use at the time the E-Passes are retumed. TERMINATION BY APPLICANT. The Applicant may lerrninate this Agreement by givjng DART written notice of the intent to lerminate.at least 60 days prior to Ihe tenninatiGfi dare. All E-Passes must be returned to DART immediately upon temtinatioli. The AppHcam shall remain liable for any sums due undru-this Agreement. The Applicant ngrees to pay DART for My £!..Passes that are not returned on or prior to the termination date. The amount of sHch payment will be delermined by multiplyiog the number of &Passes not reiUmed by $60, and multiplying lhe result by Ihe num.lx:t-of months of rcmalning available use on the termination date. The Applicant shalf be entitled to a eredit or a refund fo£ all£-Pnsses pun::hased under this Agreemenl. Whether re!urned Or not,. pro-rated for the numbe£ of months of 􀁲􀁥􀁭􀁡􀁬􀀮􀁮􀀱􀁮􀁾􀀠available use on the tennina!1on dale. Any amounts due fo DART under this Paragraph will be subject 10 intereSt etuirges at the rate of 1% per month. H the Applicant discontmues business operations duritt.g the term of this Agreetneflt. DART sh31l consider the Applicant to hav¢ terminated this Agreement 3Jld retains tht! rigbt 10 pursue !he remedies set out in !.his Agreement and all other legal {Cmedie.s. INDEMNIFICATION. 'Ill the extent allowed by law, each pa.rty agrees to be responsible for any claims:, demands or lawsuits arising out of its own negligence. Nothing eonrailll!d in this 􀁾􀁵􀁴shall be construed as an express or implied waive! by any party of any lega! dckn:;cs including bnt nor limited 10 the defense of governmental immunity_ Nothing ill this AgfOOmttOt shall be eonstrued (0 give rights to any pernon or entity thai is 001 n party to Ihis Agreement. The Applicant shall be liable ror reasonahle attorney fees, court costs, and ulher reasonable expenses i.ncurred if DART PUiWe5 legal actiOn to enforce its rights under this AgreemenL MISCELLANEOUS. This documenl contain:; aU of the (emIl> and conditions of the agreement between DART and the Applicant. Any changes or additions to ttl<: Agreement must be jn writing and signed by alllh¢ parties 10 the original Agrcemeni. The caplioos or headings on any paragraphs in 􀁴􀁨􀁩􀁾􀀠Agreemc.nlll.re for reference only and do not affect any of the tCflTIS and oonditiom: of this Agreement. Nothing in this Agreemenl shall be e¢nSlrued to limit {he right of DART to establish t.I'an.-u! routes or perform any other lawful functions. For DART-:--:-:-:_ For 􀁁􀁰􀁰􀁬􀁩􀁣􀁡􀁮􀁬􀀭􀀺􀀭􀁾􀀬􀀬􀂭Initial Iuitial Insfrudions: I. DART guarantees mail delivery of monthly posses before the elfedive month, only if orders are received by the 20th day of preceding month. For example, July monthly pass orders mu51 be received by June 20th. II-Ride Bonus Paks, Paralronsit Coupons and Poralransit Stickers may be ordered ot any time during the month. 2. Payment may be mode by company check, 􀁭􀁯􀁮􀁥􀁾􀀠order, wire Iransfer, MasterCard, VISA or Discover. 3. Monthly posses may be ordered for one month only. Please circle month desired: JAN FEB MAR APR MAY JUN JUl AUG SEP ocr NOV DEC Cuslomer/Oelivery Informalion (PLEASE PRINT CLEARLY) Companyl'lame:.________________________________ Conlodtlome:________________________________ 􀁁􀁤􀁤􀁲􀁥􀁳􀁾_______________________ ___________ City:__________-',TX ZipCode:.____ Phone No.._______FoxNo.______ Please indicale number of possel/paks delired and Ihe dollar amounl of order: " Type Quontity Price Each Toiol Volue Locol Monthly Pass Premium Monthly Pass Reduced Monlhly Pass Local l1·Ride Bonus Pok @@@@S30.00 S60.00 S10.00 S10.00 􀁾􀀠= = S Premium II-Ride Bonus Pak @S20.00 = Reduced II-Ride Bonus Pak @S 5.00 = Paralronsi! (oulons (Book 01101 Paralransil Slic ers (Page 0110) @@S20.00 S15.00 = = Total passel/pab Sub Total: S Total Amount Due: S Method of Payment: o Check/money order. Please make payable to Dallas Area Rapid 􀁔􀁭􀁮􀁾􀀱􀀮􀀠o Using a Credit Cord (check one): D MasterCard D Visa 0 OisCDver (ard# ________________ExpimlianOale:_-1' _-1'__ Name on card,___________________________ o (orporale Cord D Personal (ard, please include drivers license #__________ Signalure lor t:redit cord purchose:_____________________ DWire Transfer. AmountS"-______________________ call (214) 749-3800. There are no return options with Pass-Dy-Mail orders. Mail the white copy of Ihis payrnent 10: DART PASS-DY-MAII., 1700 Pacifrc Ave, Suile 101, Dallas, TX 75201. Please send us Posses/Bonus Paks/Slickers as lollows: Quonlily Price Eoch Tolal Volue􀁾􀀠Local Monlhly Posses @S28.00= $ Premium Monthly Posses @$58.00= $ Reduced Monthly Posses @$1O.00= $ locoIII-Ride Bonus Pak @$lO.OO= $ Premium II-Ride Bonus Pak @$20.00= $ Reduced II-Ride Bonus Pak @$5.00= $ Porotronsit Slickers @515.00= 5 Toiol posses/bonus paks: Total amount due: 5 Note: Unused passes may not be returned. Company Nome___ Address____________________________ City 􀁾..... _______ZipCode,____􀁾􀁐􀁨􀁯􀁮􀁥􀀠110.____ Name 01 person to receive ...."_________􀁾..􀁟􀁾� �____________ Please indicate a form 01 payment o Check/money order. Moil payment with WHITE COpy althis lorm to: DART, 1700 Pacific Avenue, Suite 101 Dallas, TX 7520lor charge by phone, call (214) 749·3800. o Using aCredit Card (check one): 0 MosterCnrd 0 Viso 0 Discover Nome on Card:,_________ Card#:________________ ExpimfionOole __L_L_ Signature:____ o Corporote Card o Personal Cord, please include drivers license J Ordering Passes for the month of _____ Returning Passes for the month of _____ Please send us passes and/or II-Ride Bonus Poks as follows: We are returning for credit the following unsold fore scrip: __locol Monthly Posses @2B_00 = $ __locol Monthly Posses @2B.00 = $ __Premium Monthly Posses @5B_00 =$-__Premium Monthly Posses @5B.00=$-__ Reduced Monthly Posses @10_00=$-__ Reduced Monthly Posses @10.00=$-. locoill-Ride Bonus Pok @10.00=$-locoill-Ride Bonus Pok @10.00=$---Premium II-Ride Bonus Pok @20.00=$---Premium II-Ride Bonus Pok @20.00=$-Reduced II-Ride Bonus Pok @5.00=$---Reduced II-Ride Bonus Pok @5.00=$-==Porotronsit Frequent Rider Sticker @15.00=$== ==Porotronsit Frequent Rider Sticker @15.00=$== (A) Total value of posses &bonus poks: $_ (B) Total value of returned posses &bonus poks: $_ Subtroclline (B) from"the line (A) amount, enter difference and make payment for this amount $______ Returning Passes Send returned posses to DART Revenue Administrotion, P.O. Box 710449, Dallas, TX 75371-0449. Note: Note: Posses returned for credit toward next month's pass order must be postmarked by the 10th of the month in which the posses are valid, for example, July posses must be postmarked by July 10. Orders postmarked after the 10th will be returned and no credit will be applied. Far your protection, it is recommendea that you return unsold posses via certified moil. Delivery of Pass Orders Orders totalling $500 or more will be delivered to you by DART courier. Please indicate proper delivery address and the nome(s) of the individuol!s) authorized to accept the order. Orders totaling less than $500 will be delivered to you by U.S. moil. Please indicote proper moiling address in appropriate spaces below: ComponyNome:___________________________________ Nome of Person to Receive Order:_______________________________ Address:__________________ __________________ City________ZipCode.______Phone No.__________________ o [heck box if address has changed. Payment Instructions Please indicate aform of payment: o Check/money order. Moil payment with WHITE COpy of this form to: DART, P.O. Box 840009, Dallas, TX 75284-0009 o Using aCredit Cord (check one): 0 MasterCard 0 Visa 0 Discover Cord#:________ _ __ __ExpirotionDote_.J_.J_ _ o Corporote Cord 0 Personal Conr,jileose iiiillcote driverSlicense number___________ NomeonCord___________________________ Signature:For assis"-ta-n-ce-,p'l-ea-se-ca'Jl'II"(2"'1"4')....74.-.9.--3"' 0"7"4-.----------------J o Wire Tronsfer. Amount $._________