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Bus Book, January 2013 issue - Omnitrans

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31-DAY PASSeS<br />

Our best value. Beginning with your first use, ride as often as<br />

you<br />

Access<br />

like for 31 days and save!<br />

Price<br />

Full Fare Pass $47.00<br />

Allows you to ride for 31 consecutive days without fumbling<br />

with change.<br />

Senior/Disability/Medicare Pass $23.50<br />

(This fare is now combined)<br />

Qualified seniors, age 62 and over can ride for 31 consecutive<br />

days with proof of eligibility. Qualified persons with a disability<br />

can ride for 31 consecutive days with proof of eligibility.*<br />

Student Pass $35.00<br />

Students over 46” tall and through age 18 can ride for 31<br />

consecutive days. Proof of eligibility required.*<br />

7-DAY PASSeS<br />

Full Fare Pass $15.00<br />

Allows you seven consecutive days of unlimited rides.<br />

Senior/Disability/Medicare<br />

7-Day Pass $7.00<br />

Seniors age 62 and over can ride for seven consecutive<br />

days with proof of eligibility. Qualified persons with a<br />

disability can ride for seven consecutive days with proof of<br />

eligibility. Proof of eligibility required.<br />

Student 7-Day Pass $11.00<br />

Students over 46” tall and through age 18 can ride for seven<br />

consecutive days.<br />

Proof of eligibility required.*<br />

Choose your passes:<br />

San bernardino, CA 92411<br />

Qty Pass Price<br />

Day Pass Pack of 10<br />

_____ Full Fare $36.00<br />

_____ Senior/Disability/Medicare $15.50<br />

7-Day Passes<br />

_____ Full Fare $15.00<br />

_____ Senior/Disability/Medicare* $7.00<br />

_____ Students* $11.00<br />

31- Day Passes<br />

_____ Full Fare $47.00<br />

_____ Senior/Disability/Medicare* $23.50<br />

_____ Student Fare† $35.00<br />

Shipping: $1 - $500 = $1.00 _________<br />

$500 - $999 = $10.00 _________<br />

$1,000 - $1,999 = $15.00 _________<br />

$2,000 - $9,999 = $20.00 _________<br />

over $10,000 = $25.00 _________<br />

TOTAL $ _________<br />

Cardholder’s Signature (required for payment)<br />

DAY PASSeS<br />

Price<br />

Full Fare Day $36.00<br />

Pass Pack of 10<br />

Pack of 10 day passes allow unlimited number of trips on the<br />

days of your choice.<br />

Senior/Disability/Medicare $15.50<br />

Day Pass Pack of 10<br />

Qualified seniors and persons with a disability can buy this<br />

booklet of 10 day passes with proof of eligibility*. The pack<br />

allows an unlimited number of trips on 10 days of your<br />

choice.<br />

* Proof of Eligibility: To receive a Senior, Disability, Medicare<br />

or Student pass, one of the following is required. If you are<br />

ordering a pass by mail, please send a copy of one of the<br />

required forms of identification along with your order form.<br />

Please do not send originals.<br />

Seniors:<br />

• <strong>Omnitrans</strong> Senior identification card<br />

• D.M.V. identification card<br />

• Driver’s license<br />

• Social Security Medicare card<br />

Persons with Disabilities, Medicare:<br />

• <strong>Omnitrans</strong> Disability or ADA identification card<br />

• Social Security Medicare card<br />

Student:<br />

• Proof of age (18 and under)<br />

• Student status (student I.D., current registration)<br />

For more information about identification cards, please call<br />

(909) 379-7100.<br />

P A S S E S - B Y - M A I L<br />

ORDeR FORM<br />

To order passes via mail, fill out the order form<br />

below and send payment to: <strong>Omnitrans</strong>, 1700 West Fifth Street<br />

You may also purchase passes online<br />

www.omnitrans.org.<br />

________________________________________<br />

Print Name<br />

________________________________________<br />

Address Apt. #<br />

________________________________________<br />

City<br />

Zip<br />

________________________________________<br />

Phone<br />

Payment Method<br />

___Check ___ Visa/Mastercard___ Discover___ American Express<br />

Credit Card #_____________________________<br />

Expiration Date ___________ _______ _______<br />

Month Year CCV# (three digit<br />

number on back of card)<br />

________________________________________<br />

Checks must include a valid California Driver’s license or identification card number with month/year of expiration date,<br />

and must be pre-printed with a name, street address (no P.O. boxes), city, state, zip and phone. Please allow 7 - 10 business<br />

days to process checks.<br />

*If you are purchasing a Senior/Disability Pass for the first time, you must send proof of your age or disability with your order (please see<br />

the identification requirements above). Please do not send original documents. †A copy of your proof of age or student status must accompany<br />

your order.<br />

For more information or questions, please call: 1-800-9-OMnibuS (1-800-966-6428). Please Note: You also may buy your pass at one<br />

of the many convenient locations listed on page 2.<br />

PAGE 88 www.omnitrans.org • 1-800-966-6428

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