I already have an Adult TransLink card, but would like to participate in Muni's Trial Group

This is the Adult fare trial sign-up request form.

*Senior, Youth and Disabled customers please do not fill out this form. You may sign up to join the participant group or receive a free card by entering your information at translink.org/muni using the Senior, Disabled, Youth Customers tab located on the left side of that page.

Please note: TransLink is accepted on BART, Caltrain, AC Transit, Dumbarton Express, Golden Gate Transit and Ferry and all of Muni except for cable cars.

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1. I already have a TransLink Card and my serial number is:
(Your card serial number is printed on the back of your card. Please enter just the first 10 digits before the dash.)

I already have a TransLink Card and my serial number is: (Your card serial number is printed on the back of your card. Please enter just the first 10 digits before the dash.)

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2. Approximately, how often do you ride Muni?

	Daily	2-3 times a week	Once week	Rarely
I ride Muni:	Approximately, how often do you ride Muni? I ride Muni: Daily	2-3 times a week	Once week	Rarely

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3. My Muni Adult fare payment method is:

Note:

*Senior, Youth and Disabled customers please do not fill out this form. You may sign up to join the participant group or receive a free card by entering your information at translink.org/muni using the Senior, Disabled, Youth Customers tab located on the left side of that page.

My Muni Adult fare payment method is: Note: *Senior, Youth and Disabled customers please do not fill out this form. You may sign up to join the participant group or receive a free card by entering your information at translink.org/muni using the Senior, Disabled, Youth Customers tab located on the left side of that page. Cash

Adult Monthly Fast Pass

Weekly Pass

Token coupons (booklet of 10)

1,3,7-day passport

*BART Plus

Golden Gate Ferry 24-hour transfer

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4. If you transfer to or from Muni using any other transit agency please specify which ones:

	BART	Caltrain	AC Transit	Golden Gate Transit	Golden Gate Ferry	None. I don't transfer.
I transfer to or from:	If you transfer to or from Muni using any other transit agency please specify which ones: I transfer to or from: BART	Caltrain	AC Transit	Golden Gate Transit	Golden Gate Ferry	None. I don't transfer.

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5. As a participant in SFMTA's TransLink on Muni Adult Trial Group, I understand that:

-TransLink is currently not available on cable cars. I will not be able to use my TransLink card as fare payment on this system.

-A Fast Pass loaded onto my TransLink card cannot be used fare payment on cable cars.

-I am helping test the system for technical issues prior to TransLink's availability to the general public.

-I need to report any issues or problems with using my card to the TransLink Customer Service Center.

-If my card doesn't work, I need to confirm with the operator and may be required to provide alternate fare payment.

-I will periodically be asked to fill out surveys that relate to my commuting experience using TransLink.

-I cannot punch a hole in, alter or bend my TransLink card. Doing so will damage the card and I will be responsible for any fees related to replacing the card and restoring the balance.

-If my card is lost or stolen, there is a $5 fee for replacing the card and an additional $5 fee to restore the balance. If I am registered for Autoload, the card replacement fee will be waived and I will only be responsible for the $5 fee to restore its balance.

As a participant in SFMTA's TransLink on Muni Adult Trial Group, I understand that: -TransLink is currently not available on cable cars. I will not be able to use my TransLink card as fare payment on this system. -A Fast Pass loaded onto my TransLink card cannot be used fare payment on cable cars. -I am helping test the system for technical issues prior to TransLink's availability to the general public. -I need to report any issues or problems with using my card to the TransLink Customer Service Center. -If my card doesn't work, I need to confirm with the operator and may be required to provide alternate fare payment. -I will periodically be asked to fill out surveys that relate to my commuting experience using TransLink. -I cannot punch a hole in, alter or bend my TransLink card. Doing so will damage the card and I will be responsible for any fees related to replacing the card and restoring the balance. -If my card is lost or stolen, there is a $5 fee for replacing the card and an additional $5 fee to restore the balance. If I am registered for Autoload, the card replacement fee will be waived and I will only be responsible for the $5 fee to restore its balance. Yes, I accept the above terms of use and would like to be an Adult trial participant

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6. List your FULL FIRST and LAST NAME.

All fields are required.

List your FULL FIRST and LAST NAME. All fields are required. Name:
Address:
Address 2:
City/Town:
State
ZIP/Postal Code:
Email Address:
Phone Number:

1. TransLink Existing Adult Card Holder Trial Information

1. I already have a TransLink Card and my serial number is:(Your card serial number is printed on the back of your card. Please enter just the first 10 digits before the dash.)

2. Approximately, how often do you ride Muni?

4. If you transfer to or from Muni using any other transit agency please specify which ones:

6. List your FULL FIRST and LAST NAME.All fields are required.

1. I already have a TransLink Card and my serial number is:
(Your card serial number is printed on the back of your card. Please enter just the first 10 digits before the dash.)

6. List your FULL FIRST and LAST NAME.

All fields are required.