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Metrolink Form Pass by Mail Metrolink Pass By Mail Delivering Quality Service To Your Door. At Metrolink, we are working to make all aspects of ORDER FORM your commute both pleasant and convenient. With Space for additional requests on back of form Metrolink’s Pass By Mail you can have the convenience of having your Metrolink Monthly Pass or 10-Trip Ticket delivered to your home or office by 1. Indicate Ticket Type - [R]equired simply filling out this form and mailing it in with your 10-Trip Ticket Adult payment. We’ll take care of the rest. 10-Trip Ticket S/D Monthly Pass Adult for month: _________ GUIDELINES Monthly Pass: Valid for unlimited travel between the Monthly Pass S/D for month: ___________ selected origin and destination stations during the *S/D – Senior/Disabled calendar month indicated on the pass. The pass must be 2. Indicate Stations - [R] signed and is non-transferable. (Station locations listed on back of form) 10-Trip Ticket: Valid for ten (10) one-way trips Origin: ___________________________ between the origin and destination stations indicated on ticket within 90 days of issue. Ticket may be used by Destination: ___________________________ more than one passenger. Ticket must be validated once per passenger prior to boarding. 3. Determine Fare Cost per Ticket: $ ________________ Senior/Disabled Fares: 50% off adult peak fares at all times. Be prepared to show proof of age (65+) or Number of Tickets: x _____________ disability to conductor upon request. Passengers Total Enclosed: $ ________________ without valid identification are subject to citation and fine. 4. Indicate Method of Payment Do not send cash. For current fare and schedule information call 800-371-LINK or visit us at www.metrolinktrains.com. Check** TransitChek Money Order **Make checks payable to SCRRA. Checks must have DEADLINES preprinted address and phone numbers. All mail orders for Monthly Passes must be received no Visa MasterCard Discover th later than the 15 of the month for delivery prior to the Card #: _____________________________ 1st of the effective month. Exp Date: ______/______ MAIL MY PASS TO Signature: _____________________________ This is your mailing label. Please print Daytime Phone: (_____) _______________ [R] legibly. Metrolink is not responsible for Evening Phone: (_____) __________________ lost or misdirected mail. ********************** Name: ____________________________________ MAIL COMPLETED Address: ____________________________________ ORDER FORM TO: City/State/Zip:________________________________ Metrolink This information is required. PO Box 811340 Los Angeles CA 90081-1340 A reorder form will be provided with your ticket. PBM 5/05 ADDITIONAL REQUESTS Origin Destination TicketType Rider Cost Qty Total Ex. Union Station Rancho Cuc 10-trip S/D $34.00 2 $68.00 STATION LOCATIONS SAN BERNARDINO LINE VENTURA COUNTY LINE SAN BERNARDINO MONTCLAIR EL MONTE MONTALVO SIMI VALLEY BOB HOPE AIRPORT 1204 W. 3rd St. 5091 Richton St. 10925 Railroad St. 6175 Ventura Blvd 5050 Los Angeles Ave. 3750 Empire Ave. RIALTO CLAREMONT CAL STATE L.A. OXNARD CHATSWORTH DTWN BRBNK 261 S. Palm Ave. 200 W. 1st St. 5150 State University Dr. 201 East 4th St. 10046 Old Depot Plaza Rd 201 N. Front St. FONTANA POMONA (NORTH) UNION STATION CAMARILLO NORTHRIDGE GLENDALE 16777 Orange Way 205 Santa Fe St. 800 N. Alameda St. 30 Lewis Rd. 8775 Wilbur Ave. 400 W. Cerritos Ave. RANCHO CUCAMONGA COVINA MOORPARK VAN NUYS UNION STATION 11208 Azusa Court 600 N. Citrus Ave. 300 High St. 7200 Van Nuys Blvd 800 N. Alameda St. UPLAND BALDWIN PARK 300 East 'A' Street 3825 Downing Ave. ANTELOPE VALLEY LINE ORANGE COUNTY LINE LANCASTER SANTA CLARITA DTWN BURBANK OCEANSIDE TUSTIN NORWALK/SANTA FE 44812 N. Sierra Hwy. 22122 Soledad Cnyn Rd. 201 N. Front St. 235 S. Tremont St. 2975 Edinger Ave. 12700 Imperial Hwy. PALMDALE NEWHALL GLENDALE SAN CLEMENTE SANTA ANA COMMERCE 39000 Clock Tower Plaza Dr. 24300 Railroad Ave. 400 W. Cerritos Ave. 1850 Avenida Estacion 1000 E. Santa Ana Blvd. 6433 26th St. VINCENT SYLMAR / SAN JUAN CAP. ORANGE UNION STATION GRADE/ACTON SAN FERNANDO UNION STATION 26701 Verdugo St. 194 N. Atchison St. 800 N. Alameda St. 730 W. Sierra Hwy. 12219 Frank Modugno Dr. 800 N. Alameda St. LAGUNA NIGUEL/ VIA PRINCESSA SUN VALLEY MISSION VIEJO ANAHEIM 19201 Via Princessa 8360 San Fernando Rd. 28200 Forbes Rd. 2150 E. Katella Ave. IRVINE FULLERTON 15215 Barranca Pkwy. 120 E. Santa Fe Ave. INLAND EMPIRE – ORANGE COUNTY LINE 91 LINE (RIVERSIDE – FULLERTON – DOWNTOWN LA) SAN BERNARDINO N MAIN CORONA TUSTIN RIVERSIDE-DWTN N MAIN CORONA COMMERCE 1204 W. 3rd St. 250 E. Blaine 2975 Edinger Ave. 4066 Vine St. 250 E. Blaine 6433 26th St. RIVERSIDE - DWTN ANAHEIM CANYON IRVINE RIVERSIDE– LA SIERRA FULLERTON UNION STATION 4066 Vine St. 1039 Pacificenter Dr. 15215 Barranca Pkwy. 10901 Indiana Ave. 120 E. Santa Fe Ave. 800 N. Alameda St. RIVERSIDE – LA SIERRA ORANGE LAGUNA NIGUEL/ WEST CORONA NORWALK 10901 Indiana Ave. 194 N. Atchison St. MISSION VIEJO 155 S. Auto Center Dr. SANTA FE SPRINGS 28200 Forbes Rd. 12700 Imperial Hwy. WEST CORONA SANTA ANA SAN JUAN CAP. 155 S. Auto Center Dr. 1000 E. Santa Ana Blvd. 26701 Verdugo St. RIVERSIDE LINE RIVERSIDE- EAST ONTARIO MONTEBELLO / Metrolink / Amtrak Rail 2 Rail joint stations DOWNTOWN 3330 E. Francis St. COMMERCE 4066 Vine St. 2000 Flotilla St. For more information call (800) 371-LINK, or (800) 698-4TDD for PEDLEY DOWNTOWN POMONA UNION STATION speech & hearing impaired customers, or visit 6001 Pedley Rd. 101 W. 1st St. 800 N. Alameda St. www. metrolinktrains.com INDUSTRY 600 S. Brea Canyon Rd. PBM 5/05 .
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