FIXED ROUTE Ticket Order Form

Name______________________________________ Phone #___________________

Address____________________________________ City__________ Zip _________

Pass Type	Price	Number Ordered	Unit Total	FOR OFFICE USE ONLY
				Tickets Issued
20 pass book	$20 each		$
Individual Pass	$1 each		$
Seniors & Disabled Discount (Book of 20)	$10.00 each		$
11-day Pass	$8 each		$
Monthly Pass (available by the 15^th of the prior month)	$30 each		$
Total			$	Date Processed:

If paying by credit card (Visa & Master Card Only):

Name card is issued to: ______________________________________

Type of Card (Visa, etc): ______________________________________

Card Number ______________________________________

Expiration Date: ______________________________________

Card Holder Signature ______________________________________

If paying by credit card, you may fax this form to: (919) 388-1107

Other Method of Payment: Amount Enclosed $__________

Check (Make check payable to “Town of Cary”) Money Order

Please do not send cash!

Mail to: Town of Cary

Attention: Finance Department

P.O. Box 8049

Cary, NC 27512-8049

For Reservation Information, please call (919) 481-2020. For general information, please call (919) 462-2080 or visit townofcary.org

Tickets can also be purchased at the following locations (Drivers do accept cash):

Town of Cary Finance Department located at 316 North Academy Street

Cary Senior Center located at 120 Maury O’Dell Place

Kroger Food Store located at 1273 NW Maynard Road (Monthly pass not available at this location)