Monthly Ticket Application Form Tick Passenger Category Adult School Travel by youmustknowme

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									 Monthly Ticket Application Form
Tick Passenger Category

     Adult         School Travel (QR Citytrain ONLY)           Concession*           Child (5–14 years inclusive)

*Australian Pensioner; Queensland Senior; Full time Student


Ticket Details

From                                                                         Suburb / Station Zone
           (enter station or suburb name and circle ‘suburb’ or ‘station’)

To                                                                           Suburb / Station Zone
           (enter station or suburb name and circle ‘suburb’ or ‘station’)

Note: It is important to indicate whether your journey starts or finishes at a rail station
or if you are travelling further, so the correct ticket can be issued. If you know the zones
in which you will start and finish your journey, please include them.


Passenger Details

Ms/Mrs/Miss/Mr             Surname
(select)
Given Names

Address



Suburb                                                         Postcode

Ph: (W)                                                        (H)

PH: (Mobile)
Personal information contained on this application form is obtained for the purpose of issuing a ticket
and to be used to enable the issue of a replacement ticket should the original ticket be lost or stolen.
It will not be disclosed to any other entity.


OFFICE USE ONLY:                  Date of Issue                               Ticket No.

$                                 Method of Payment               Cash          Debit Card         Credit Card

If Credit Card:            Charge         Bankcard         Visa       Mastercard           Other

Credit Card Number

Cardholder Name                                                              Expiry Date              /
Conditions of Purchase and Travel
Passenger Category

The correct passenger category must be selected. Proof of entitlement to concession
(PCC Card, Qld Senior Card, Approved Student Identification Card) must be presented, when
submitting the application, if ‘Concession’ or ‘School Travel’ category is selected.

Ticket Details

To ensure the correct ticket is issued, exact journey information must be supplied. Please
indicate whether you are travelling to and/or from a rail station or whether your journey starts
and/or finishes elsewhere in a suburb. If you know the zones in which you will start and finish
your journey please include them in the space provided.

Passenger Details

Passenger details, name and address, are obtained on application so a replacement ticket
can be issued in the event that the original ticket is lost/stolen or destroyed. If details are not
supplied, the ticket will not be refunded or replaced. These details are obtained for the purpose
of issuing and possibly replacing a ticket only. They will not be disclosed to any other entity.

Purchase and Renewal

A Monthly ticket cannot be issued (for the first time) in advance, but it can be renewed up to
9 days prior to expiry. Days remaining on the current ticket will be added to the new ticket.

Validity

A TransLink Monthly Ticket entitles the holder to unlimited travel on TransLink services, within
the zones printed on the ticket, for one calendar month – for example, from the 3rd of one
month to the 2nd of the next.

Refund or Replacement

Pro-rata refunds will be made by the issuing operator, on completion of a refund application
form, on valid monthly tickets. Tickets will be replaced if lost or stolen. An Administration Fee
will be charged. Conditions apply.

Helpful Hints

To save time when purchasing a Monthly Ticket, complete the application in advance.
You can also check the ticket price (if zones are known) on a TransLink brochure or by
calling a TransInfo Operator. Phone 13 12 30.

								
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