CommuteInfo: Commuter Registration Form

Would you like to fill out the form and send it by US Mail? If so, download the registration form in PDF format (Spanish version is also available here). In order to view the form, you must have Adobe Acrobat Reader installed. If you don’t have Acrobat Reader, it’s available as a free download from Adobe.

On-Line Form:

Remember: fields marked with an asterisk are required!

*E-mail Address:
*First Name:	MI:
*Last Name:

Home or Commute Starting Address
* Address Number
* Street Name:
* City:
State:
*Zip Code:
Cross streets (example: "Main St. and Maple Ave.")
*County
NOTE: Our service area only includes origins or destinations in Southwestern PA (i.e., only those destinations listed in the above drop-down). To find additional assistance in your area, check the Commuter Choice website.
Area Code and Phone Number:	( ) Format: XXX then XXXXXXX (no hyphens or spaces, just 3 straight digits for area code and 7 straight for phone number)

Cell Area Code and Phone Number:	( ) Format: XXX then XXXXXXX (no hyphens or spaces, just 3 straight digits for area code and 7 straight for phone number)

Work or School Address Please check the drop-down list below to see if your work or school is listed. If so, just select it. You can then skip to the question about your work/school phone number. If your work or school was not in the list, please enter the information below:
Complete Company or School Name:
Address Number:
Street Name:
City:
State:
Zip Code:
Cross streets (example: Main St. & Maple Ave.)
County
NOTE: Our service area only includes origins or destinations in Southwestern PA (i.e., only those destinations listed in the above drop-down). To find additional assistance in your area, check the Commuter Choice website.
Area Code and Phone Number: :	( ) Format: XXX then XXXXXXX (no hyphens or spaces, just 3 straight digits for area code and 7 straight for phone number)

Hours:	* Start Time:		* End Time:
My hours are flexible by:	* Start Flex Time:	Minutes	* End Flex Time:	Minutes
* Generally, the more flex time you allow, the more matches you will receive.
What are you interested in?
Carpool?		Yes No
Carpool Interest: I would like to be a
Vanpool?		Yes No
Vanpool Interest: I would like to be a
Biking?		Yes No
Biking Experience Level:

Matching	Preferences
How far are you willing to travel to get a bus, vanpool, or carpool?
How do you currently commute?
I have a vehicle available and I am willing to be a driver or share driving:	Yes No

How Did You Hear About Us? *

Please Tell Us Your E-Newsletter Preference:*

Other Comments:
(Please use this space to list the names of your carpool partners, van number, any special requests, referral information, etc.)

Please note: Depending on your computer system, firewalls, etc. you may not receive the list when we send it (and usually we do not know you did not get it). You may want to add our email address to your address book (CommuteInfo@spcregion.org), which sometimes helps avoid these problems. If after 2 business days, you have not received a report from us, please call at 1-888-819-6110 and we will mail a hard copy of the report to you.

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A Program of the Southwestern Pennsylvania Commission
Regional Enterprise Tower | 425 Sixth Avenue, Suite 2500 | Pittsburgh, PA 15219-1852
Send Comments To: CommuteInfo@spcregion.org or call 1-888-819-6110
Read Our Terms Of Use and Privacy Policy.

Note: Babel Fish is a third-party resource and a computer translation of the original webpage.
It is provided for general information only and should not be regarded as complete or accurate.

First time visitor? Get started now!

By submitting this application you agree that the information submitted will be entered into the CommuteInfo regional rideshare database. Matches are made via computer and based on proximity of home and worksite addresses and work schedules. If you have agreed to be matched with potential rideshare partners, they will receive a letter with your contact information. [ View Sample Rideshare Report ] Your information will not be provided to a marketing company but may be shared with a vanpool leasing company for the purposes of vanpool formation. Participation in a carpool, vanpool, bikepool or Emergency Ride Home (ERH) service is an individual decision. Ridesharers are completely responsible for the operation of their carpools, bikepools, or participation in vanpools. CommuteInfo and the Southwestern Pennsylvania Commission shall have no responsibility or liability for any claims, expenses, or damages resulting from any individual's participation in a carpool, vanpool, bikepool, transit or the ERH service.

By submitting this application you are also agreeing to our terms of use.

Please select:

Return visitor, you can request the CommuteInfo staff send you a new match report or edit the information you already submitted. Click here to place your request.

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A Program of the Southwestern Pennsylvania Commission
Regional Enterprise Tower | 425 Sixth Avenue, Suite 2500 | Pittsburgh, PA 15219-1852
Send Comments To: CommuteInfo@spcregion.org or call 1-888-819-6110
Read Our Terms Of Use and Privacy Policy.

Note: Babel Fish is a third-party resource and a computer translation of the original webpage.
It is provided for general information only and should not be regarded as complete or accurate.