$100 Gas card/carpoolers in NewJersey

http://www.state.nj.us/transportation/c ... ation.shtm

$100 Gas card/carpoolers in NewJersey
The registration form below is for your entire carpool. Only one member needs to register. Please make sure to fill in the names and contact information of the other carpoolers in your group in the fields below. All information will be verified.
carpooling makes sense logo

After your registration is submitted, the appropriate Transportation Management Association (TMA) will contact you regarding procedures for verification and tracking. You will track your weekly commute in order to qualify for the gas card. Carpools that register on or after February 1, 2008 must submit their carpool log within 120 days of registration in order to be eligible to receive the $100 gas card.

Please fill out the form completely. All Items with an * are required fields.

If you have any questions concerning this form, contact NJDOT's Ridesharing Office at 800-245-POOL (800-245-7665).