Emmanuel College Students
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Semester
Passes
UNLIMITED RIDES from February 1 - May 31 No cancellations - No refunds Passes may be picked up at the Emmanuel College Mailroom after the 27th of each month. Please Note: Identification required. Incomplete or inaccurate information will not be processed.
Schedule and Fare Information: (617)222-3200 www.mbta.com
Spring 2012 Semester
Pass Order Form
Fill out this form and return it to: Emmanuel College Office of Student Financial Services Administration Building #205 400 The Fenway, Boston, MA 02115 Make money order (no personal checks) payable to: Emmanuel College
11% Discount Prepaid/4 Months
Choose a pass type.
DEADLINE: January 4, 2012
See reverse side for an explanation of pass services.
Student Name
LOCAL BUS
$142.40
LINK
$210.04
Inner Express Bus $316.84 Outer Express Bus $459.24
Phone #
Spring Semester: 4 Passes (Feb.-May)
Emmanuel ID # Complete below if paying by credit card.
00 00 0000000000000000
0
Visa
0
Mastercard
0
Discover
Exp. Date
month
Card #
year
ZONE 1A
$210.04
ZONE 1
$480.60
ZONE 2
$537.56
ZONE 3
$580.28
ZONE 4
$662.16
ZONE 5
$747.60
ZONE 6
$793.88
ZONE 7
$836.60
Card Holder Signature
ZONE 8
$890.00
Name as it appears on card (please print)
BOAT PASS
$704.88