COMMUTER INCENTIVE PROGRAMS

Try Transit On Us

Registration Form

In order to enroll in Try Transit On Us, we must receive your request by 12:00pm on the 5th of the month prior.
For example: December 5th is the last day to enroll for the January transit benefit.

Note: In order to make the program fair and open to as many commuters as possible, previous participants are not eligible.

Name: 
Month to Begin Participation:
(Usually the month following when you register.)		  
Home Address: 
City, State, Zip: 
Employer:   
Work Address:
(Please include any mailzones/dept. codes/etc.)
City, State, Zip:
Work Phone: 
Email Address:
 Supervisor's Name:
 How Did You Learn About Try Transit On Us?
 Type of Pass (MBTA, Peter Pan Bus, C&J Trailways, etc.):
 How do you currently commute to work?  
 Where do you park at work?  
 How much is your daily or monthly parking?  
How man miles (one way) is your commute?  
Normal arrival time at work:  
Normal departure time from work:  

Terms of Agreement for Try Transit On Us (Please check each box on the left below)
I request to participate in the Seaport TMA's Try Transit On Us program. My participation in the program is based on the understanding that I currently drive alone to work and will begin taking transit.
I hereby release the Seaport TMA and all service providers 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 also understand that the Seaport TMA has the right to discontinue participant privileges at any time.
I understand that the Seaport TMA will require me to complete a monthly status report for the Try Transit On Us Program.
Furthermore, I understand that incorrect use of this service may result in  restriction from using the service again.



 

 

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