WestCAT - Fares and Sales - Ticket/Pass Order Form

Passes and Tickets By Mail	Return to Fares and Sales

Legibly print your name and address on the order form below.
Complete the order form and make a check or money order payable to "WestCAT."
Only local, imprinted checks will be accepted. Please do not send cash.
Send to: WestCAT, 601 Walter Avenue, Pinole, CA, 94564

Your information:

Enclosed is a Personal Check/Commuter Check (x)___ or Money Order (x)___ in the amount of $__________________
Name:	____________________________________________
Address:	____________________________________________
City:	____________________________________________
State:	_______	Zip Code:	__________________________
Contact Phone #:	____________________________________________

Ticket and Monthly Pass Order Form

Dial-A-Ride	Quantity X	Price Per Sheet =	Total
Adult/Student (10-$1.50 tkts)- Ages 6-64		$15.00
Senior/Disabled (10-$1 tkts)		$10.00
Medicare Eligible Passenger (10-$1 tkts)		$10.00
Regular fare for Dial-A-Ride is $2, Senior/Disabled & Medicare Eligible Passengers fare is $1.25, Regional Paratransit is $3.
Fixed Route/Express/Martinez Link 30Z	Quantity X	Price Per Sheet =	Total
Adult/Student - Ages 6-64		$12.50
Senior/Disabled		$5.00
Medicare Eligible Passenger		$5.00
Monthly passes are valid on local fixed route, express, and Martinez Link 30Z routes.
WestCAT Monthly Pass	Quantity X	Price Per Pass =	Total
Adult/Student - Ages 6-64		$40.00
Senior/Disabled		$20.00
Medicare Eligible Passenger		$20.00
Monthly passes are valid on local fixed route, express, and Martinez Link 30Z routes.
Lynx Transbay Tickets	Quantity X	Price Per Sheet =	Total
Adult/Student (10-$4 tkts)- Ages 6-64		$40.00
Senior/Disabled (10-$2)		$20.00
Medicare Eligible Passenger (10-$2)		$20.00
Lynx Transbay Monthly Passes	Quantity X	Price Per Pass =	Total
Adult/Student - Ages 6-64		$120.00
Senior/Disabled		$60.00
Medicare Eligible Passenger		$60.00
Regular Adult/Student (ages 6-64) fare for the Lynx is $4, Senior/Disabled and Medicare Eligible Passengers fare $2. Monthly passes will be mailed via certified mail only and require a signature. Please supply us the address (work or home) where you will be available to sign for your pass. To request Lynx passes be sent to you via regular mail please send written request with signature releasing WestCAT from responsibility.

Passes and Tickets By Mail