Students / Parents – Prepaid Discount Form

Students Name *

First

Last

Dorm Name

Email *

Cell Phone Number *

Portland / Bangor Airports *

• Three-Pack Pass $480 (total savings $120)
• Four-Pack Pass $640 (total savings $160)
• Five-Pack Pass $800 (total savings $200)
• Six-Pack Pass $960 (total savings $240)
• Not applicable

Standard Student Rate: $200 one way * Pack is defined as a one-way ride. Round trip = 2 packs

Boston / Manchester Airports *

• Three-Pack Pass $1080 (total savings $270)
• Four-Pack Pass $1440 (total savings $360)
• Five-Pack Pass $1800 (total savings $450)
• Six-Pack Pass $2160 (total savings $540)
• Not applicable

Standard Student Rate: $450 one way

Total Amount *

$0.00

Includes a 3.5% convenience charge for credit card transactions.

Pay Securely by Credit Card *

Card

Name on Card

Comment or Message *

Submit

Discount Pass Information.

*Discount Passes are limited to Students, Parents and Siblings. When making a reservation, please note in the comment section that you have a Prepaid Pass with the Students Name

Pack is defined as a one-way ride. Round trip = 2 packs

*Share-a-Rides (when applicable) will be noted against the prepaid balance 
Portland/Bangor- $80 (save $20)
share-a-ride rate $100
Boston/ Manchester- $180 (save $45)
share-a-ride rate $225