- - Mail Order Form
Fares Effective January 2, 2005- -

Name: _________________________________________________
Address: ______________________________________________
City: ______________________State: _____ Zip: _______

Item Type Price Quantity Total Cost

1-Day Pass:

 Local

$3.25

  

$

3-Day Pass:

 Local

$7.50

   $

5-Day Pass:

 Local

$11.25

   $

7-Day Pass:

 Local

$15.00

   $
31-Day Pass: Local
$45.00
   $

31-Day Pass:

 Express Zone 2

$77.00

   $

31-Day Pass:

 Express Zone 3

$100.00

   $

31-Day Pass:

 Express Zone 4

$122.00

   $

31-Day Pass:

 I-BUS

$75.00

   $

10-Ride Ticket:

 Senior/Disabled

$5.40

   $

10-Ride Ticket:

 Youth

$9.00

   $

10-Ride Ticket:

 Local

$11.25

   $

10-Ride Ticket:

 Express Zone 2

$20.25

   $

10-Ride Ticket:

 Express Zone 3

$26.50

   $

10-Ride Ticket:

 Express Zone 4

$32.50

   $

10-Ride Ticket:

 I-BUS

$20.00

   $

10-Ride Coupon Book:

 ADA Paratransit

$22.50

   $
 

Total:

 $

Payment Type (please circle):
   Check or Money Order   |   Visa   |   Mastercard
Card #:
                                     
Expiration Date: ____/____      Phone #: ________________

Signature: __________________________________________

Mail to: CTTRANSIT PrePaid Fares Coordinator
P.O. Box 66
Hartford, CT 06141