HART Commuter Information Services

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Register your carpool using the form below to take advantage of HART's incentives all Free of Charge.
Or, click here to download, print and fax the PDF form.

HART offers Hunterdon County-bound carpoolers:

FREE Enrollment
FREE Guaranteed Ride Home
FREE Car Care Program
FREE Commuter Newsletter

Eligibility Requirements

Work in Hunterdon County
Share a ride to work at least two days per week
with at least one other person
Enroll in HART's RIDEPRO System

*Carpool Coordinator (for correspondence purposes)	Male Female
* Last Name:
*First Name:
* Home Street Address: (no PO Boxes, please)
*Mailing Address: (if different from above)
*City:
*State/Zip:
*Phone:
*Employer/Company Name:
*Address:
*City:
*State/Zip:
*Work Phone:
*Ext:
*E-mail:
*Work Start Time: am/pm
*Work End Time: am/pm
*Distance: (home address to work address in miles, one way)
*# Days Carpool per week:

Carpooler 4	Male Female
Last Name:
First Name:
Home Street Address: (no PO Boxes, please)
Mailing Address: (if different from above)
City:
State/Zip:
Phone:
Employer/Company Name:
E-mail:
# Days Carpool per week:

*Carpooler 2	Male Female
*Last Name:
*First Name:
*Home Street Address: (no PO Boxes, please)
*Mailing Address: (if different from above)
*City:
*State/Zip:
* Phone:
*Employer/Company Name:
*E-mail:
*# Days Carpool per week:

Carpooler 5	Male Female
Last Name:
First Name:
Home Street Address: no PO Boxes, please)
Mailing Address: (if different from above)
City:
State/Zip:
Phone:
Employer/Company Name:
E-mail:
# Days Carpool per week:

Carpooler 3	Male Female
Last Name:
First Name:
Home Street Address: (no PO Boxes, please)
Mailing Address: (if different from above)
City:
State/Zip:
Phone:
Employer/Company Name:
E-mail:
# Days Carpool per week:

Carpooler 6	Male Female
Last Name:
First Name:
Home Street Address: (no PO Boxes, please)
Mailing Address: (if different from above)
City:
State/Zip:
Phone:
Employer/Company Name:
E-mail:
# Days Carpool per week:

Participation Agreement
HART reserves the right to verify carpool activity by participants through random checks at commuter worksites. Any fraudulent use of the program will result in immediate dismissal of the carpool from the program and voids provision of any or all program incentives.

I understand that my participation in a carpool is voluntary. In consideration of registration in the program, I waive, release, and discharge HART Commuter Information Services from any incident that may arise from my participation in the carpool.

This waiver, release and discharge, extends to all members of HART Board of Directors, Staff, Members, and Associates of HART.

Carpooling Makes Sense Eligibility Agreement

Incentive offered on a first come, first served basis. NJDOT has the right to discontinue program at any time.
Condition of participation: all information supplied, including required tracking log, is correct and complete. NJDOT has the right to refuse participation and withhold incentive if NJDOT believes that the carpool participants have failed to meet this obligation.
Carpool is defined as two or more people commuting to work or college/university.
Participants must carpool 24 days over the course of 2 consecutive months and submit a tracking log in order to receive incentive.
Only one gas card is offered to each carpool.
This offer cannot be combined with any other carpool incentive program offered directly by NJDOT.

*Yes,I agree to all of the above terms and conditions on behalf of the carpool.

Yes, our carpool is willing to accept additional riders.
No, please do not refer commuters to our carpool.

Please indicate if you were referred to HART by an individual (co-worker, friend, etc). Please type their name in the box below so that we may thank them appropriately.

Name:
* How did you hear about HART? (required)

BIKE TO WORK WEEK 2008
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HUNTERDON COUNTY CONSTRUCTION INFORMATION

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