TBM application TICKET BY MAIL APPLICATION

							TICKET BY MAIL
 APPLICATION
The most convenient way to
         buy your
   Metra Monthly Ticket
    (SEE DETAILS ON REVERSE SIDE)
                                               TICKET BY MAIL APPLICATION
  FULL FARES
 ZONE MONTHLY
                                                          Sign up today for Metra’s
     A
     B
                   $58.05
                   $63.05
                                                           Monthly Ticket by Mail                                                         FILL OUT AND FAX BACK:
                                                                                                                                                (312) 322-6511
     C             $90.45
     D            $102.60
                               Sign Up Today
                               Fill out the application and mail to Metra Ticket by Mail, 547 W Jackson Blvd., Chicago, Il. 60661,
     E            $116.10      or Fax your application to (312) 322-6511 or drop off your application in the Ticket By Mail boxes
     F            $128.25      at any Downtown station. Once you sign up it’s automatic. We’ll make sure that your monthly
     G            $139.05      ticket is received before the first of every month. Applications received after the tenth of the month
     H            $152.55      cannot be processed for the next month’s ticket, but will be processed for the
     I            $164.70      subsequent month.
     J            $178.20
     K            $190.35
     M            $217.35
                               Connecting Travel Programs
                               In addition to the Metra Monthly Ticket, Ticket By Mail customers can also purchase CTA’s
                               Transit Card for $39.00 and or Pace Plus Bus sticker for $30.00 during weekday travel.

                               Reduced Fare Cardholders
     REDUCED                   RTA Reduced Fare Cardholders must be 65 years of age or customers with disabilities. If you are
 ZONE MONTHLY                  not in possession of a RTA card you must call (312) 913-3110. A copy of the RTA card must be
     A             $39.40      enclosed or Fax to(312) 322-6511 with application.
     B             $43.15
     C             $61.90      Built In Flexibility
     D             $71.25      Taking a vacation! It’s easy to suspend your ticket, Just mark VOID on the ticket and mark the
     E             $80.65      appropriate box on the invoice of the month you want to resume. Return the ticket intact and
     F             $88.15      deposit the envelope in the Metra Ticket By Mail drop box.
     G             $95.65
     H            $105.00      Hassle Free Payment
     I            $114.40      Payments can be made by Personal Check, RTA Fare Check or Money Order. all forms of payment
     J            $123.75      must include the following information: Account Number, First and Last name with two(2) phone
     K            $131.25      numbers. Payments are required by the tenth of the month.
     M            $150.00
                     FOR OTHER CONVENIENT TICKET ORDERING OPTIONS, SUCH AS TICKET BY INTERNET, VISIT OUR WEBSITE AT                     www.metrarail.com
                                                                                                    CUSTOMER & STATION SERVICES ONLY
      MONTHLY TICKET-BY-MAIL MAILING ADDRESS                                                                                                             PLEASE
                   LAST NAME                       FIRST                                MI
                                                                                             Metra UP          o North        o West     o Northwest    COMPLETE
Name
                                                                                             Metra Milwaukee o North          o West
                                                                                             Metra             o Burlington Northern Santa Fe               ALL
Company
Name                                                                                         Metra             o Heritage     o Electric
(if applicable)
                                                                                             Metra             o Rock Island o South West Service      INFORMATION
                                                                                             o North Central Service
Street
                                                                                             Phone numbers where you can be reached: (Both Required)
                                                                                                                                                         MUST BE
City
                                                                                             Alternate Number
State                                                                                                                                                  RECEIVED OR
ZIP                                                                                          Residential                                                FAXED NO
Code
                                                                                             I understand that full payment (by personal check,        LATER THAN
                  Ticket for: o Male o Female                                                transit check or money order only) must be received       10TH OF THE
                  o CTA Transit Card ($39.00) o Pace PlusBus ($30.00)                        by the 10th day of the month the ticket is effective.
                  o Reduce Fare Cardholder enclose copy of card                                                                                          MONTH
                                                                                             For Ticket-By-Mail information, call Metra
                  For ticket good between
                                                                                             Customer & Station Services number (312) 322-
                                                                                                                                                        CUSTOMER
                                                                                             6516 or (312) 322-6517 during normal business
(Boarding Station Name)                 And                (Destination Station Name)        hours. TTY/TDD (only) (312) 322-4286 Fax (312)              SERVICE
                                                                                             322-6511                                                   312-322-6516
beginning                                                                                    X                                                          312-322-6517
                                         (Month & Year)                                                          (Signature Required)