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What is the 3-Way Vanpool Ridership Form?

The form has several uses. To register in the Share-A-Ride program, apply to ride in a specific vanpool or to give notice to leave a vanpool. One of the three boxes should be checked, signature included and faxed to (907) 563-2206.

A commuter cannot begin riding in a van until the 3-Way Vanpool Ridership Form has been completed, submitted to Anchorage Share-A-Ride and been contacted with authorization.

3-Way Vanpool Ridership Form

•	Registration: Check this box when you want to register in our program and be matched with other commuters.
•	Application to Ride in a Vanpool: Check this box when you have already registered in the Share-A-Ride program and you have been authrized to join a vanpool.
•	Notice to Leave Pool: Check this box if you are unable to continue riding in a vanpool. All riders must provide 30 days notice prior to the actual date they will discontinue riding in the van.

3650 A E. Tudor Rd., Anchorage, Alaska 99507-1252
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