Carpool Matching Service Registration Form
Emergency Ride Home and
Bike/Walk Program

Application

To take advantage of CATMA's Confidential Car Pool Matching Service and/or Emergency Ride Home programs, please fill in the form below and click the SUBMIT button at the bottom of the page. You can also subscribe to our Transportation Newsletter or our Carpool Matching Service email update list. Your personal information is kept strictly confidential. Want to know more? Visit the Contact Us page by clicking the link to the left, and call or drop us a line.


I'm interested in finding a carpool. My carpool ad is below.
I'll be biking and/or walking. Sign me up for the Bike/Walk Reward program.
I'll be parking at the General Dynamics or 1193 North Avenue lot.
I'm already taking the bus, walking, biking or carpooling. Sign me up for the Emergency Ride Home Program and restaurant drawings.

Name - First:    Last:  

Employer Empl ID number/Dept:

Work Address: 

               City:  , VT  (Zip Code): 

Work Phone:  802- Home/Cell Phone:   

Email

Closest Major Intersection of Home

Name of the town you commute from:  , VT  or  NY

Destination:  or Other: 

Commuting Method:   Days per week you use this method:

If carpooling, is your carpool accepting new members?  Not carpooling  YES   NO

Names of others in carpool (separate with commas):  

Work hours (e.g. 8 AM to 4:30 PM):       Driving preference:

Please enter the text for your carpool ad in the box below. See the Carpool listings link above for examples.

Finally, here are 2 ways for you to keep abreast of commuter and transportation news and opportunities:

I would like to receive the CATMA Transportation newsletter, including the latest RidesWork listings and news about participating businesses and institutions. (Please supply your complete address above. Our postal and electronic mailing lists are not sold or shared.)

Please email me with the latest RidesWork listings only. (Be sure you've given us your email address above!)

I have read and agree to the guidelines for the Emergency Ride Home program. Sign me up!

When you have completed this form, Click   To clear the form, click


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