Registered Commuter Update 2008

To better serve you, HART is conducting the annual update of commuter information Please take a few minutes to answer the following questions.

Carpoolers Please Note: We must hear back from each carpool participant( not just the coordinator) for the carpool to remain eligible for HART's incentive programs.

Responses must be received by April 15, 2008.

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Home Phone Number

Email Address (address you would prefer to be contacted at)

Cell Phone Number:

Employer:

Work Address:

Work City

State:

Zip:

Work Phone:

Work Hours:

Start:

End:

Please provide the information that is pertinent to your commute mode, below:

For Carpoolers Only: please answer the following questions. (Bike & Transit commuters skip this section)

Carpool Number:
( if known)

Please type in first and last names
of your carpool mates:

**If you no longer carpool, please list the reason:

For Bike and Transit Commuters:

I currently still commute by Bike

I currently still commute by Transit

I no longer commute by Bike

I no longer commute by Transit

**If you no longer bike or take transit to work, please list the reason:

For All Commuters: Please indicate the number of days you carpool, bike or take transit to work (on average) each week. If you no longer carpool, cycle or take transit, respond "O":

Please share any additional comments you may have about your commute experience:

Indicates Response Required

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