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

Application

To take advantage of CATMA's 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, and call or drop us a line.


Sign me up for the carpool matching service. My ad for the Transportation Newsletter is below.
I'm an alternate commuter. Sign me up for the Emergency Ride Home Program
I want to join the CATMA Bike/Walk Bucks Reward Program

Name - First:    Last:  

Employer Empl ID number/Dept:

Work Address: 

               City:  , VT  (Zip Code): 

Work Phone:  802- Home Phone:   

Email

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 ad in the box below. See the RidesWork page 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 understand 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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