¿en Español?
Use an Alternative to Driving Alone and Win a Trip Around the World!
Guarantee
We will honor all participants by entering them in a drawing for a trip around the world and other fabulous prizes.

How to Enter
Complete the online form below and submit your entry (one entry per person please).
Please select what
applies to you
*I work or live in:

Your Commitment
*At least one day during October 1-5, I pledge to:
(please check all that apply) 		Carpool
Vanpool
Take the bus
Bike
Walk
Telework
Other: describe

Personal Information
*First Name
*Last Name
*Street Address
*City
*Zip
Mailing Address
(if different)
City
Zip
*Daytime phone number
Evening phone (optional)
*Email address

Employer Info
*Employer or school
*Work or school address
*City
*Zip
Commute Information
Check for FREE commute information:

(please check all that apply)		 Vanpooling
Bus
Bicycling
Walking
Teleworking
Park & Ride Lots
Caltrain
Amtrak
Emergency Guaranteed
      Ride Home Program
Check for a Matchlist

I want to join a carpool
I have a car to share
I want to join a vanpool
I want to drive a vanpool
I want a bicycle partner
I start work at: :
I leave work at: :
My work schedule is flexible by how many minutes

Additional Information
I usually ________ to work
(drive alone, carpool, bike, etc.)
I am a past participant of Rideshare Week
This is my first time using a commute alternative
How did you hear about Rideshare Week?
(friend, website, radio, television, etc.)
* Required information
Commute Alternatives - info@commutealternatives.info | San Benito County Rideshare - info@sanbenitocog.org