Please print out this form and send to:

The OzonePass Program -- NJ TRANSIT, Sales & Employer Services
One Penn Plaza East, Newark, NJ 07105
 

NJ TRANSIT's
'The OzonePass' Program Order Form

 
Date ______________________

Company Name __________________________________________

Contact Person ________________________________________

Title _________________________________________________

Mailing Address __________________________________________
                                                               (No PO Boxes Permitted)

City _________________ State _________ Zip Code ___________

Phone____________________ Fax _____________________

E-Mail ____________________________

________ My Company is already an OZONE ACTION PARTNER

________ My Company wants to become an OZONE ACTION PARTNER, our application is attached.


To sign up the the OZONE ACTION PARTNERSHIP,
Fill out NJ OZONE ACTION PARTNERSHIP Membership Application

and send it in with your OzonePass order form.

Dear Director of Sales:
Our company would like to participate in NJ TRANSIT's The OzonePass Program. Please send me ___________ number of passes/tickets as soon as possible. Enclosed is a check in the amount of $______________ to fulfill this order.

I understand that in order to receive a full-credit refund for any passes/tickets, they must be returned to NJ TRANSIT's Revenue Department no later than Friday, September 17, 1999.

Sincerely,

 

 (Signature with Title)

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