I acknowledge that the above is true and correct. I have read and understand the eligibility requirements. I agree to notify Spectrumotion immediately should any of the above information change.

I further acknowledge that I am currently driving alone to work, have not been ridesharing for the past 90 days and am a first time OCTA bus rider.

I understand that if I am found to have falsified any of this information, I will become ineligible to participate in any of Spectrumotion's subsidy programs, promotions and the Emergency Ride Home program.

I understand that I am required to participate in the follow-up survey. If I don't participate I will pay Spectrumotion for the total amount of the pass.

I understand that I am to return an unused pass to Spectrumotion. If I do not return the unused pass, I will pay Spectrumotion for the total amount of the pass.