COMMUTER PROGRAMS
 Carpool Program

PRIZE STRUCTURE:

First six months: each month your carpool submits the Carpool Confirmation Report, your carpool will receive a $25 gas card.

Prizes are awarded based on the prior month's carpool activity.
Example: The report you submit in February will be for the days you carpooled in January.

If your carpool does not submit a report, you will not be eligible for a prize.

After the first six months, submitting the monthly report enters your carpool into a monthly raffle for miscellaneous prizes.

Deadline for Carpool Confirmation Report is the 7th of Each Month.

At the end of each month, fill in the information below to submit your carpool confirmation.
 
Carpool Information  
Carpool Name:
No. of Members:
Month Submitting For:
Person Submitting Report (your name):
   
Primary Driver   
Name: 
Employer:
E-Mail Address:
   
Secondary Driver or Passenger 1   
Name: 
Employer:
E-Mail Address:
   
Passenger 2  
Name: 
Employer:
E-Mail Address:
   
Passenger 3   
Name: 
Employer:
E-Mail Address:
NEW: 4/1/09: Please have ALL THOSE IN YOUR CARPOOL read the information to the right.

Then add their initials here, separated by commas:

 

 I request to participate in the Seaport TMA's Carpool Program. I have read, printed out and agree to the terms outlined in the document titled ASSUMPTION OF RISK, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
Our carpool usually travels together on the following days:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Arrival Time:
Departure Time:
Estimated no. of miles traveled together per carpool day (roundtrip):
Total No. of Days Carpooled This Month:
Name of Parking Facility in Seaport:
Cost Per Day or Month:

Let us know if you've told someone about the program (or leave blank).

Referral 1
Referral 2
Referral 3

 

Please allow 2 - 3 weeks to receive the reward.

 

Return to Program Overview

 

Seaport Transportation Management Association
200 Seaport Boulevard, Mailzone Z1A  •  Boston, MA 02210
(617) 385-5510 phone  •  (617) 385-1788 fax
SeaportTMA@fmr.com