Step 2  Select Trip or Regular Commute:

  This is a Trip   

Date of Trip: mm/dd/yyyy     

Trip Date is Flexible?

Number of Flex Days ± : Select if Flexible 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30  

 This is a Regular Commute

Check each Commute Day:  

Approx Leaving Time: Select 4:00am 4:30am 5:00am 5:30am 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm 12:00am 12:30am 1:00am 1:30am 2:00am 2:30am 3:00am 3:30am

Step 3  Ride Information

Step 4  Your Contact Information