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Travel Training
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Travel Training

Fill out the following form to get started with RideWise!   We will contact you to set up a time to learn how to plan trips and ride on TriMet Buses and Max Trains.

TravelRequest

Required fields are marked with asterisks (*).

Customer Information
Customer Name *
Home Phone *
Other Phone  
Email
Address Line 1*
Address Line 2  
City *
State * 
Zip Code *
Date of Birth *
Ethnicity  
 

Transportation Needs
Immediate Transportation Needs  
Mobility Device?   

Type  
How far can you walk or travel with a mobility aid unassisted?  
 

Considerations for Travel Accommodations
   
If other please specify  
 

Referrer Information
If referring someone else please fill out this section; otherwise skip.
Your Name  
Phone or Email  
Your relationship to the individual being referred
If other, please specify
Services or support you provide
Comments
500 characters max.		  
   

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