CommuteWorks' Longwood "T" Party Program
Registration Form

Click Here for LMA Shuttle Information

Enjoy Subsidized Transit Passes and Parking
With CommuteWorks'

Commuters will receive over $330 in incentives to
try a new commute on public transportation.

Registration Form

Commuter Information:
Date:
Name:
Employer:
Job Title:
Employee ID #:
Work Phone:
 
Home Address:
City:
State:
Zip:
Home Phone:
Email Address:
 
 
How do you prefer to be contacted?
 
 
How many miles is it from your house to the LMA (one-way)?
How many days a week do you commute into the LMA?
How did you hear about The Longwood "T" Party Program?
 
 
Please indicate below if you are a drive alone commuter with a registered parking space or if have moved to a new home location as of Oct. 1, 2005 that increased the cost of your transit pass (select one):
Drive alone commuter with a registered parking space; or
New home location that increased the cost of your transit pass
 
Please answer the questions below if you are a drive alone commuter with a registered parking space:
Which parking lot are you currently parking at when you drive to work?
What is your parking sticker or card number?
What type of MBTA transit pass do you plan to purchase?
On a typical day, how long is your commute by car to the LMA in minutes (one-way)?
 
Please answer the questions below if you have moved to a new home location, as of Oct. 1, 2005, resulting in an increased cost of your transit pass:
 
What city/town did you live in before you recently moved?
What type of MBTA pass did you buy when commuting from your last residence?
What type of MBTA pass do you plan to purchase commuting from your new residence?
On a typical day, how long is your commute by transit to the LMA in minutes (one-way)?
 

CommuteWorks' Longwood "T" Party Program
Release of Liability

CommuteWorks' Longwood "T" Party Program is designed to encourage the use of public transportation by employees to the Longwood Medical and Academic Area. As a participant in the program, you agree to provide any information requested regarding your commute and parking practices accurately and completely. To be a participant in this program, you must be a registered parker at your institution or moved to a new home location, as of October 1, 2005, resulting in an increased cost of your transit pass. You must first receive approval from CommuteWorks before participating in the program. Commuters with registered parking spaces must turn in their parking card/sticker at the beginning of the program to their institution to ensure that they will not drive into the LMA on a daily basis. Commuters, who moved to a new home location, as of October 1, 2005, must provide proof that they moved resulting in an increased cost of their transit pass. You must also truthfully record the costs of parking at the transit stations and failure to do so will result in your termination from the program. By registering for this program you are declaring to Medical Academic Scientific Community Organization, Inc., (MASCO) and to your employer, that you are complying with all of the requirements of the program, as set forth above. At any time, should it be determined that you have failed to provide accurate information, or that you have failed to meet the requirements of the program, you expressly agree to refund MASCO for all costs incurred. These costs include, but are not limited to, any incentive benefits paid to you, plus the costs of collection, if any. Please also be advised that your employer will be promptly notified of any non-compliance. As always, you should consult your tax advisor concerning the tax consequences of any incentive.

The Commuter hereby releases and hold harmless Medical Academic Scientific Community Organization and its subsidiaries, members, directors, officers, representatives, agents and employees from all claims, losses, liabilities, damages, injuries (including the reasonable cost of defense) arising out of, or in connection with this Agreement and participation in the Longwood "T" Party.

Thank you for registering with CommuteWorks' "T" Party Program. By submitting this form, you state that you have read and agree to the statement above. The CommuteWorks Program Manager will contact you soon. 

 

Return to Program Overview

 

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For questions, comments, or additional information,
email CommuteWorks or use the address or phone number below.
 

CommuteWorks, a service provided by MASCO, Inc
 375 Longwood Avenue, Boston, MA 02215-5328

(617) 632-2796