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* 1. Contact Info

First *

Last *

Email Address* *

Mobile Phone

*By submitting this form, you are consenting to receive marketing emails from SBCAG, 260 North San Antonio Road, Suite B, Santa Barbara, CA 93110 (www.SBCAG.org). You will receive a monthly email with carpool promotions, upcoming EZ Bike Project events, education opportunities, and related alternative transportation opportunities. You can unsubscribe at any time from within these newsletters or by emailing us at smartride@sbcag.org. We respect your privacy, and your information is kept confidentially.

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* 2. Where do live?

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* 3. Select your employer:

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* 4. Typical work hours:

	Arrive	Depart
Hours	Hours Arrive menu	Hours Depart menu

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* 5. Mode interest:

Bike

Bus

Carpool

Telecommute (WFH)

Train

Vanpool

Walk

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* 1. Contact Info

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* 2. Where do live?

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* 3. Select your employer:

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* 4. Typical work hours:

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* 5. Mode interest:

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* 6. Anything else we should know to help you get started?