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2. Contact Name:*
4. Organization Name:*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Contact Phone Number:*
13. Contact Email Address:*
17. How would like to receive the passes?*

    I prefer to:

    1. Pick-up the passes.
    2. Have the passes mailed.
19. Requested Pick-Up Date (Estimate Only)
    Requested Pick-Up Date (Estimate Only)

    Requested Pick-Up Date (Estimate Only)

    PART requires a minimum of three (3) business days to process paper token requests.

    Orders will NOT be ready until you receive a confirmation email from PART (Umo@partnc.org).

    Please do not come to the office until you receive that confirmation.

    PART Administrative Offices are open Monday–Friday, 8:30 AM–5:00 PM.

21. Request Date Acknowledgement*

    1. I understand that paper token orders require at least three (3) business days to process and that my order will not be ready until I receive a confirmation email from PART.
23. Mailing Address

    Is the mailing address and contact information for the passes:

    1. The same as above.
    2. A different contact and/or address.
25. Whose attention and what address would you like the passes mailed to?
29. Quantity of Passes Needed:*

    Note: Current Paper Tokens expire two years from the date of purchase. Please order only what you will use within that time. PART does not replace expired, lost, or stolen tickets.

33. Payment Method:*

    1. Credit Card
    2. Check
35. Invoicing

    Are you the person to be invoiced for the passes?

    1. Yes, send me the invoice.
    2. No, please send the invoice to another person.
37. Name of person to be invoiced:
39. Email Address of person to be invoiced:
40. Phone number of the person to be invoiced.
44. Acknowledgement*

    1. By checking you acknowledge the statement below.

    I acknowledge and understand that PART Single-Ride Paper Tokens include an expiration date. No refunds or replacements will be authorized for unused or expired tokens. In addition, no refunds or replacements will be issued for lost, destroyed, or stolen tokens.

46. A part representative will follow up with you within 5 business days after you submit your information. If you have any immediate questions, please contact umo@partnc.org. Thank you!

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field