To order your Twin Transit Freedom Pass print out this page.  Fill out the form and attach a check or money order for $15, made payable to Twin Transit (no cash please!)  Mail your completed form and payment to:

Twin Transit, 212 E. Locust St., Centralia, WA 98531

Your pass will be mailed the same day your order form is received.

------------------------------

For Office Use Only
Pass # __________

___________________________________________________
Pass holder's Name

___________________________________________________
Street Address			    Apt. #

___________________________________________________
City				State	  Zip

________________	___________________________
Date of Birth		Telephone

________________________________	__________
School					Grade

How will the Freedom Pass help you this summer?

___________________________________________________

___________________________________________________

___________________________________________________
How can we serve you better?

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________