Placer County California

PLACER COMMUTER EXPRESS
PASS & TICKET ORDER FORM

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Placer County must receive your order & payment seven (7) business days before the end of the month to ensure delivery of merchandise before the first of the following month. All passengers must pay fare (cash or ticket) or show valid monthly pass when boarding. All purchases are non- refundable.

PASSES AND TICKETS AVAILABLE
1) Colfax-Clipper Gap	Monthly Pass	$170.00
2) Auburn-Penryn-Loomis	Monthly Pass	$140.00
3) Rocklin-Roseville	Monthly Pass	$125.00
4) Colfax-Clipper Gap	20 Ride Ticket Book	$94.00
5) Auburn-Penryn-Loomis	20 Ride Ticket Book	$78.00
6) Rocklin-Roseville	20 Ride Ticket Book	$70.00
*PRICES EFFECTIVE July 1, 2007*

MERCHANDISE FOR THE MONTH OF: _________________

Reference	Quantity	$Amount	Passenger Name

Total Due: $ _______ $ Enclosed: _______ $ To be invoiced:______ Receipt Requested? Yes No

Mail merchandise to: Purchasing agency or individual: ________________________ Mailing Address: ____________________ ____________________ ____________________ Telephone Number:________________ E-mail:__________________________		PLEASE MAKE CHECKS PAYABLE TO: Placer County Transit 11460 F Ave. Auburn, CA, 95603
******************Placer County Transit Use Only******************

Pass # _____________________ Date Recieved: _______________		Purchase Order #_______________ Date Mailed to Customer_________

PCE is a service of Placer County Transit, (530) 885-BUSS or (916) 784-6177
Email Link: Placer County Transit, Website: www.placer.ca.gov/transit