you willbechargedthefullfare foryour ride. discounted 70¢; ifyou enterduringpeakhours, enter duringoff-peakhours, you will bechargedthe collection systemrecords thetimeof your entry. If you and leave thePATCO system. The computerized fare touch ittotheyellow targetatthegateasyou enter Once you have loadedvalue ontothecard, you just stored-value card thatyou useinsteadofapaperticket. card with your photoonit. The isa As anRFPmember, you willreceive aFREEDOM How itworks you mustapply fortheRFPFREEDOMSmart Card To takeadvantage oftheReduced Fare Program (RFP), To participate • Weekends (Sat.-Sun.): • Weekdays (Mon.-Fri.): available? discount When isthe Thediscountisonlyavailable duringoff-peak • Thereduced fare ishalfofthelowest fare onthe • What isthediscount? People withdisabilities • Medicare card holders • Senior citizens (65years orolder) • Reduced FareProgram(RFP)? Who iseligibleforthe Reduced FareProgram All day 7 p.m. to6a.m. 9 a.m.to4p.m. and periods. During peakhours,fullfares apply. system —only70¢,nomatterhow faryou . Authority Transit Corporation A subsidiaryofthe RiverPortAuthority Reduced Fare Program

Ride anywhere for only 70¢ 3. Medicare card Photo ID&proof ofage 2. . Thiscompletedapplication form 1. What tobringwithyou that isopen Tuesdays only, from 10a.m.to2p.m. Centeratthe FREEDOM Service Friday, 7a.m.top.m. There isalsoa station inCamdenisopenMonday through CenterattheBroadwayThe FREEDOMService Center.it toaFREEDOMService Fill outtheapplicationforminthisbrochure andbring To enroll or birth certificate. certificate. or birth a driver’s licenseorstateIDcard, passport, Acceptable formsofidentificationinclude Section C Section B Section A fallsbelow $5. prepaid balanceonyour FREEDOMCard amountyou select($30minimum)whenthe PATCO tocharge your forthe • Filling outandsigningthissectionauthorizes F physicianmustfilloutthissection. anddonothave aMedicare card, your • If you are disabled,64years oldoryounger, Applicants withoutaMedicare card forbalanceprotection incaseitislostorstolen. • The FREEDOMCard willberegistered signthisapplication. • You are required tocompleteand registration (required) Applicant information andFREEDOMCard (856) 772-6900 REEDOM Card autoloadenrollment For FREEDOM Cardinformation,call(877) 373-6777 ifyou have one.

(215) 922-4600

Senior citizens, people with www.ridepatco.org disabilities and Medicare card holders ride off-peak for 70¢ (optional) with our Reduced Fare Program. RFP FREEDOM Card Information What it is... • Once you’ve authorized autoload, the agreement The FREEDOM Card is a stored-value system for paying remains in effect as long as the associated RFP your PATCO . When you first get the card, you must FREEDOM card is valid, unless you revoke the make an initial payment of $20 to load onto the card. agreement in writing. (There is no charge for the card itself.) Each time you • Funds on the card are non-refundable, use the card, the amount of your fare will be deducted except in some very limited circumstances. from your balance. How to check the balance on your card... How to use it... • The current balance will show on the message screen Each time you enter and leave the PATCO system, hold under the green “X” as you go through a toll gate. your FREEDOM card next to the yellow target on the fare • You can check your balance at any Ticket Vending gate. You’ll hear a “beep” and the gate will swing open. The Machine (TVM) at any station: just touch the fare for your ride is deducted from the balance on your card card to the yellow target on the machine. when you exit the system. • If you have set up a web account at • If you enter the system during off-peak hours, you will www.patcofreedomcard.org, you can be charged 70¢, regardless of where or when you exit check your balance online. the system. • If you enter the system during peak hours — weekdays If you lose or damage your card... 6 a.m.-9 a.m. and 4 p.m.-7 p.m. — you will be charged Don’t worry, your FREEDOM Card is balance-protected. the full fare, as follows: • As soon as you notify PATCO that you’ve lost your card • $1.40 between any two stations (by calling 877-373-6777), the card will be disabled to • $1.40 between Philadelphia and either City Hall prevent anyone else from using it. or Broadway in Camden • The unused balance on that card can be • $1.40 between City Hall and Broadway in Camden added to a replacement card. • $1.60 between any two stations except • You will be charged $5 for the replacement card. between City Hall and Broadway This fee is for the card itself, and doesn’t go • $2.25 between Philadelphia and Avenue toward paying fares. • $2.60 between Philadelphia and Collingswood, Westmont, or Haddonfield Accessibility of PATCO trains and stations • $3.00 between Philadelphia and Woodcrest, • PATCO’s fare collection system includes wide Ashland, or Lindenwold ADA-compliant fare gates at every station. • If you pass through the system without touching your • Service animals trained to assist the disabled card to the target, you will be charged the maximum are permitted on PATCO. fare, regardless of when you travel. Note: PATCO is unable to provide physical assistance. How to load additional value onto your card All customers must be able to negotiate all parts of the The minimum amount to load onto your card is $20 per PATCO system (including stairways and ) transaction, but you can load more than that if you want to. by themselves or with self-provided assistance. There are plenty of options for adding value: • You can use a Ticket (TVM) in any FAQs station. These machines take cash, debit cards, and • May I share my RFP FREEDOM Card? credit cards (VISA, MasterCard, and American Express). No, it is non-transferable and has your photo on it. • You can come to the FREEDOM Service Center at If you let someone else use your card, you will be the Broadway station (open M-F, 7 a.m.-7 p.m.) or the disqualified from the program. Woodcrest station (open Tuesdays only, 10 a.m.-2 p.m.). • Will my RFP FREEDOM Card expire? At the Service Centers, you can pay with a check in Yes, the card is only good for five years. After five years, addition to cash, debit card, or credit card. you must reapply to get a replacement card. • You can set up a web account online at • Do I have to show my RFP FREEDOM Card www.patcofreedomcard.org. With a web account to a PATCO employee in order to use it? you can load your FREEDOM Card anytime, Most of the time you’ll just use your card at the using a debit or credit card. automated fare gate to enter and exit the system, but • You can arrange for value to be loaded automatically. if a PATCO employee asks to see the card, you must With autoload, whenever your balance dips below show it to that employee. This is to ensure that only $5, the amount you preselect ($30 minimum) will be authortized RFP customers use RFP FREEDOM Cards. charged against your credit card and added to your FREEDOM Card balance. For more information • If you have set up a web account at Call (877) 373-6777 Monday-Friday, 7 a.m.-7 p.m., or visit www.patcofreedomcard.org, you can use us online at www.ridepatco.org or www.patcofreedomcard.org. that account for autoload. • You can set up an autoload account at the You can sign up for email notifications regarding FREEDOM Service Center, either when you first PATCO service at www.ridepatco.org. apply for your RFP FREEDOM Card (see Section C of the attached application form) or at another time. Reduced Fare Program Application

The following are eligible for PATCO’s Reduced Fare Program (RFP)

1. Seniors: Customers 65 years of age or older. Eligible customers may apply during the month of their 65th birthday or any time after that. Applicants must provide proof of age (driver’s license or other official document) to complete their applications.

2. Medicare card holders: Customers with a Medicare card are eligible. Applicants must show their Medicare card to complete their applications.

3. People with disabilities who do not have Medicare cards: Those people with permanent or temporary disabilities that impair their ability to use public transportation may be eligible. RFP eligibility status may be limited by the nature and type of disability.

Applicants must provide a certificate, signed by a currently licensed, practicing physician, that describes and certifies the degree of disability that significantly impairs the applicant’s ability to use public mass transit. A doctor’s certificate is not required if the applicant has a Medicare card.

PATCO reserves the right to require the applicant to provide further proof of eligibility (e.g., proof of identity). Our privacy policy is available at www.ridepatco.org.

Section A. Applicant Information & FREEDOM Card Registration (Required) Please type or print clearly.

First name:______MI:______Last name:______

Address: ______

City:______State:______ZIP code:______

Phone 1:______† Home † Work † Cell

Phone 2 (optional):______† Home † Work † Cell

Email address (optional):______

Create a security question:______Examples: What street did you grow up on? What was your high school’s mascot? etc.

Answer to the security question:______Examples: Greenwood Avenue; Tiger; etc.

5I have read the information on this application and the terms and conditions provided, either in print or online at www.ridepatco.org

Signature:______Date:______

Application continued on back... Section B. Applicants without a Medicare Card who are 64 years of age or younger THIS SECTION IS TO BE COMPLETED ONLY BY THE LICENSED PHYSICIAN OF AN APPLICANT WITH A QUALIFYING DISABILITY WHO DOES NOT HAVE A MEDICARE CARD. To qualify, the applicant’s disability must significantly impair his or her ability to use public mass transit.

Name of physician:______

Address: ______

City:______State:______Zip Code:______

Licensing identification:______Phone:______

Description of applicant’s disability:______

Anticipated duration of disability:______

Physician signature:______Date:______

Section C. FREEDOM Card autoload enrollment (optional)

PATCO will charge your credit card the appropriate amount incurred under the terms of this agreement. Such charges will continue until the account is terminated or closed or this authorization is revoked in writing. Written authorization must be supplied in writing at least ten days before account deactivation. (Exception: If the applicant has an online account, the applicant may request a temporary deactivation that will last until the card is used again.) Upon receipt of the written authorization to terminate an account, PATCO will discontinue charging the associated credit card. Users may also call the FREEDOM Service Center (877-373-6777, Monday-Friday, 7 a.m.-7 p.m.) to terminate an account. Users are required to supply current/updated credit card information.

5YES! Please use my credit card to automatically replenish my FREEDOM Card when my balance falls to $5 or less.

BILLING INFORMATION Credit card type: † MasterCard® † Visa® † American Express® Credit Expiration / Card#: Date:

Replenishment Amount: † $30 † $50 † $75 † $100 † Other ($30 minimum):______

Cardholder name:______

Billing address: ______

City:______State:______ZIP code:______

I authorize payment as selected, and certify that all information contained in the application is true and accurate.

Cardholder signature:______Date:______

PATCO USE ONLY: TO BE COMPLETED BY PATCO upon presentation of proof of eligibility by those applicants who qualify because of age or Medicare status. Check box(es) only. Do not record numbers. †Driver’s License † Photo Identification Card (Issued by MVC/DMV) † Medicare Card † Birth Certificate † Passport † Military ID † Other ID: ______

Freedom Card#: W16.020

Employee:______Date:______Form 303 (8/16)