Capital Metro - All Systems Go Future Connections Study

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FEEDBACK/MAILING LIST

We want to hear from you! Please give us your comments.
Note: If you wish to provide your name and address and/or other information for analysis purposes, we will respect your privacy. Your personal information will not be reported to anyone, nor will Capital Metro distribute your personal data to third parties. You will not be contacted unless you request us to do so.

*Required Fields

Your Comments :
	Yes, I would like a reply. (Please provide us your phone number or email address)

Are you a* :
(check all that apply)

Individual/Resident	College Student
Neighborhood Association	Capital Metro Employee
Business Owner/Manager	Elected Official
Property Owner	City/County Government
Civic Group	State Government
Special Interest Group	Other

How often do you ride
Capital Metro? :

Which Capital Metro
services do you use? :
(check all that apply)

Regular Bus Service

UT Shuttle Service

Dillo Service

Event Services

Para-Transit Services

What do you use
Capital Metro for? :
(check all that apply)

For work only

For non-work only

For school

For special events

Other

Add to Mailing List :	Yes No
Add to Email List :	Yes No

First Name* :
Last Name* :
Business/Organization :
Address* :	Apt./Suite No. :
City* :	State* :
Zip Code* :
Email :
Telephone :

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