Ticket-By-Internet
Application Form
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Contact Metra
FareCheck
Please complete the entire application and then print it out. Enclose the application along with your
voided
check and a
copy
of your RTA Reduced Fare card (if applicable) and mail it to:
Metra
Ticket-By-Internet
Customer and Station Services
Third Floor
547 W. Jackson Boulevard
Chicago, IL 60661-5717
Last Name:
First Name:
Middle Initial:
Address 1:
Address 2:
City:
State:
ZIP Code:
E-mail (Optional):
Business Phone:
Residential Phone:
RTA Reduced Fare Card ID Number:
(Seniors, Disabled)
RTA Reduced Fare Card
Expiration Date:
Signature: _________________________________________________
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