|
|
|
|
|
|
|
|
Price |
|
Quantity |
|
Total |
|
ISSUED |
DATE |
| Adult/Student Ticket Strip |
|
|
|
|
|
|
|
|
- Sheet of Ten Tickets |
$16.00 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| Adult/Student Unlimited East Bay Value Pass |
|
|
|
|
|
|
|
|
- Indicate Month:__________ |
$60.00 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| Senior Monthly Pass |
|
|
|
|
|
|
|
- Indicate Month:__________ |
$18.00 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| Disabled Monthly Pass |
|
|
|
|
|
|
|
- Indicate Month:__________
|
$18.00 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| Senior/Disabled One Ride Tickets |
|
|
|
|
|
|
|
- Single Ticket
|
$ 1.00 |
X |
|
= |
|
|
|
|
- Sheet of Ten Tickets
|
$10.00 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| Dial-A-Ride Tickets |
|
|
|
|
|
|
|
- $3.50 per ticket |
$ 3.50 |
X |
|
= |
|
|
|
|
|
|
|
|
|
|
|
|
| BART Tickets |
|
|
|
|
|
|
|
|
| - BART Blue ($48 Value) |
$45.00 |
X |
|
= |
|
|
|
- BART Green ($24 Value-Senior 65+) |
$ 9.00 |
X |
|
= |
|
|
|
- BART Red ($24 Value-Youth and Disabled) |
$ 9.00 |
X |
|
= |
|
|
|
|
|
|
|
Total: |
|
$_______ |
|
|
|
