MyGo Pasadena

My Name:

Today's Date:

MyGo Decal Number:

(You should have a MyGo decal affixed to your bike with a number in the upper corner. Please do not remove the decal.)

The e-bike I purchased with my MyGo rebate was a:
Giant Suede-ETres Terra Europa Currie Izip EZGO     
Skeuter Z 1500       Currie Izip Trailz Enlightened

The Gold Line Metro station I commute to is:
Sierra Madre VillaMemorial ParkDel Mar

I enrolled in the following level of the MyGo Rewards Program (must choose one):
Bronze Level —I pledged to ride my e-bike 2x/week to my Gold Line transit station.
Silver Level —I pledged to ride my e-bike 3x/week to my Gold Line transit station.
Gold Level —I pledged to ride my e-bike 4x/week to my Gold Line transit station.

This month, I verify that I commuted to my Metro station
 according to my pledge level indicated above:
YesNo

Generally this month, I commuted to my Metro station using my
 e-bike on the following days each week: (choose all that apply):
Mondays Tuesdays Wednesdays Thursdays Fridays
Saturdays Sundays

What time do you generally board the train in the
 AM and PM on your MyGo commute days?
A.M. P.M.

Generally this month, I parked my e-bike at the station,
 or took my e-bike on the train:
I parked my e-bike at the station.I took my e-bike on the train.

By submitting this form, I verify that all the facts and statements made above are true and correct and within my personal knowledge

Once individual travel patterns are established, commuting information will be periodically verified by visual inspection at each of the transit stations by CALSTART staff members. Failure to commute as verified may result in dismissal from the Rewards program. If you have additional commuting information that you would like to submit, please email wpitkanen@calstart.org