COMMUTER PROGRAMS

Ride to Win Registration Form

Complete this form, then submit the monthly report to be entered into our raffle.

 
Last Name:   
First Name:   
Home Address:   
City, State, Zip:   
   
Employer:   
Work Address:
(Include mailzone/mailstop if applicable)		  
Work City, State, Zip:
Work Phone: 
Email Address: 
(Work email preferred in order to verify employment with a TMA member company.)
How many miles (one way) is your commute?  
Arrival Time at Work:
Departure Time From Work:
Pass Type: Commuter Rail       Multi-ride pass     Monthly LinkCommuter Boat      Stored value CharlieCard
Pass Number:  
 
Referred by:
 
Terms of Agreement for Ride to Win: (Please check each circle on the left below.)
By clicking "Submit Form" below, I agree to the following:
  •  I request to participate in Seaport TMA's Ride to Win Program. I agree to read and abide by the procedures and rules of the program.
  • I hereby release Seaport TMA from any liability, claims and demands for personal injury, loss, theft or damages to my personal property, loss of income, consequential damages resulting from delays or absence of service provider, or termination of the program.

  • I understand that Seaport TMA has the right to discontinue participant privileges at any time.

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