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SamTrans Group Travel Form

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					                                                        Group Travel Form
Thank you for your interest in riding SamTrans. Every effort will be made to provide a pleasant trip for your group.
However, please note that SamTrans cannot guarantee seats or an additional bus to accommodate groups. E-
mail this completed form to tickets@samtrans.com for processing at least nine business days before your trip. If
you need schedule information, visit www.samtrans.com or call 1-800-660-4287 (TTY 650.508.6448).
                                                             Customer Information
Organization:

Mailing Address:

Contact Name:                                                                                                   Phone:

Contact E-mail:

What is the best way to contact you?:                              E-mail          Phone

                                                                    Travel Details
Date of Travel: February 24, 2009                                                                          Day of Week:

# in Group:                                       Youth:                                         Adults:
Round Trip:                                       Yes/No
Trip Start
     Boarding Street & Cross Street:

                          Boarding Route:                                           Boarding Time:

  Destination Street & Cross Street:
Return Trip Departure
     Boarding Street & Cross Street:

                          Boarding Route:                                           Boarding Time:

  Destination Street & Cross Street:

Special Assistance Required?:
Notes:

SamTrans will contact you about payment method and trip details within two business days of receiving this form.
Payment is due seven days before the travel date. Checks and money orders should be made payable to
"SamTrans" and sent to: SamTrans, Market Development Dept., 1250 San Carlos Ave., P.O. Box 3006,
San Carlos, CA 94070-1306. Group tickets are non-refundable or exchangeable. Feedback is important to us,
so we'll send you an online survey after your trip.
----------------------------------------------------------------For SamTrans Use-----------------------------------------------------------------------
                                                      Trip Start          Trip Return
                                                        Fare                  Fare             Sub-total          #
Adults                                            $         2.00      $          2.00      $        4.00          0           $                   -
Youth                                             $         1.25      $          1.25      $        2.50          0           $                   -
                                                                                                                 Sub-total:   $                   -
                                                                                                             20% discount:    $                   -
                                                                                                               Total Due:     $                   -
                                                                                        Date Received:
                                                                                        Received By:
                                                                                        Date e-mailed to SamTrans Group Travel:
                                                                                                                                           5/15/2014
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