SEE REVERSE SIDE FOR MAIL IN ORDER FORM For additional forms see station agent

(Inside Lake Merritt Station)

for General Public

Green Ticket

for Seniors 65 yrs. and older

Red Ticket

YOUTH TICKET: age 5-18 $24 value for $12 for a book of 10

$4 tickets

for a book of 10 $1 tickets

This 10-ride ticket books are for individuals who have filled out an application with East Bay Paratransit and use the East Bay Paratransit Consortium ADA

2018 CHANGES: Starting January 1, 2018, there will be a $0.50 per trip surcharge for Blue tickets and a prorated per trip surcharge of 19 cents for Green tickets and Red tickets for people with disabilities. Tickets for youth age 5 through 18 will receive a 50% discount and pay a 25 cent surcharge per trip. Riders are encouraged to get the applicable Clipper Card (www.clippercard.com) to avoid the surcharge.

P.O. Box 12688

TICKETS BY MAIL PROGRAM

ADA TICKET: Qualified disabled persons and Medicare cardholders$24 value for $9

Green Ticket

Red Ticket

$

General Public

Seniors 65 and older

ADA/DISABLED $24 value for $9

.

Application required (see front for details)

GRAND TOTAL . . . . . . . . . . . . .

Name:

Day Phone: (

Address:

Orders totaling $300 or more will be sent by Express mail. Signature Required upon receipt. All others will be sent by regular mail.

Would you like a receipt?

MAXIMUM ORDER IS 10 UNIT

$48 value for . . . . . . . . $45 x

$64 value for . . . . . . . . $60 x

$24 value for . . . . . . . . . .$9 x

YOUTH (age 5-18) $24 value for $12 x

1 book of 10 – $4 tickets for $40 x

1 book of 10 – $1 tickets for $10 x

TOTAL COST

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= 2018 TICKET SURCHARGES Trip surcharges will apply to all ticket trips. See above for more information.

For Checks: Make payable to BART (in Blue or Black ink ONLY). Commuter Checks are accepted. All checks must show a valid phone number and a driver's license number or DMV ID Card Number.

Orders of 1 to 10 Tickets: Send to - BART Customer Services Center, LMA-C, P.O. Box 12688, Oakland, CA 94604-2688. Other questions, call 1-510-464-7136.

Orders of 11 or more: Send to - BART Group Sales, 300 Lakeside Drive, 22nd Floor, Oakland, CA94612, 510-464-6949 – Attn: B. Lopez

x = _______

TICKETS BY MAILORDER FORM

(please print clearly)