Commuter Services

Outreach program of I-494 Corridor Commission

Monthly Pledge

February Prize Drawing - Portable Bluetooth Speaker

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February Prize Drawing - Ultimate Ears BOOM 3 Portable Bluetooth Speaker

Each month we have a prize drawing for those who try a sustainable mode of transportation. Replace a drive-alone trip to work or school and instead take the bus or train, bike, carpool, walk, telework or vanpool once this month.

Personal Information

Email Address^{* Must be a valid Email Addresss}

First Name^*

Last Name^*

Home Address^*

Unit/Apt/Suite

City^*

State^*

Zip^*

Home Phone^*

Cell Phone

Work/School Information

Company Name/School Name^*

Address^*

Unit/Apt/Suite

City^*

State^*

Zip ^*

Work Phone

Commute Information

I start work/school at:

I finish work/school at:

Most typical, current way to commute is:*

Route #: Other:

Link to Bike Route ResourcesYou’ll receive a link to create a personalized bike route with turn-by-turn directions.	Hennepin County Bike MapOff-road and on-road bicycle trails in Hennepin County.	Bike Tips BrochureBike laws, safety, how to put your bike on the bus/train and more.
Clothing RecommendationsWhat to wear in all temperatures wet and dry.	Winter Bike Commuting HandoutClothing, Bikes and Gear, Road Conditions and more.
Bike Trail UpdatesBike Trail Updates	Bicycle Commuting GuideBicycle Commuting Guide

Transit System Map	Customized Bus/Train Route Itinerary A personalized trip plan from your home to your destination which includes two free ride passes for new riders.
METRO System Brochure Includes METRO Blue Line, Green Line and Red Line schedules.	Northstar Commuter Rail Brochure The Northstar Line offers service between Big Lake and downtown Minneapolis, stopping at stations in Elk River, Ramsey, Anoka, Coon Rapids and Fridley.

Other

Privacy Protection Statement - Tennessen Warning (Data Privacy Act)

1. You will be asked to provide certain information on this form for the purpose of providing you and like applicants with rideshare services.

2. Participation in the Commuter Services program is strictly voluntary, and you are not required by law to furnish any of the information requested on the form.

3. The following information requested on this form is classified as private data under the Minnesota Government Data Practices Act: (a) your residential address and telephone number; (b) your beginning and ending hours; (c) your current mode of commuting to and from work; and (d) the type of rideshare service information you have requested. All other information you provide is considered public data and is accessible by any person for any reason.

4. You should know that any of the information you provide, whether classified as private or public, will be provided to certain other entities and individuals in order to supply you with the requested rideshare services. These entities and individuals include other agencies or governmental units, employers that are participating in the matching of information of rideshare applicants, and other matched rideshare applicants. In order to provide you with rideshare service(s), match lists containing your name, address, employer, telephone number(s) of your choice, working hours and rideshare preference may be sent to any of the above entities or individuals.

5. The only consequences of not furnishing all of the information on this form are: 
1) the rideshare program will be denied data to be used for statistical evaluation, and 2) the rideshare program's ability to supply you with the requested services may be restricted.

6. The information provided by you on this form will be solely and exclusively for providing you and other applicants with rideshare service.

Information submitted on this form will be used for providing requested materials and/or ridematching purposes only.

	I would like Commuter Services to inform me of opportunities to win prizes as well as commute program updates and events.
	* I verify that the above information is true and correct, and that I have read the Tennessen Warning. In order to submit, please check the box above
3 + 5 = *

* All fields marked with an asterisk are required

Resources

Contact Info

Commuter Services
7101 York Ave S, Suite 156
Edina, MN 55435
Phone: 952-405-9425
Email: melissa@494corridor.org

Carpool	Bus	Bike
Vanpool	Light Rail/Train	Telework
Other
Please Specify (Walking, Rollerblading, etc):

Commuter Services

Outreach program of I-494 Corridor Commission

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February Prize Drawing - Ultimate Ears BOOM 3 Portable Bluetooth Speaker

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