Cascades West Rideshare


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Carpool Registration

Valley VanPool

Carpool Registration

If you have already filled out a registration form through www.valleyvanpool.info, you do not need to fill this form again. You will receive carpool and vanpool matches (if applicable).

When you fill out this form, you will be entered into the ride-matching database. We will send to you a list of potential carpool and Valley Vanpool matches with similar commute times and destinations. You will be responsible for contacting those individuals and making the arrangements. However, Cascades West can answer questions and troubleshoot most difficulties. Please note, the information you give us is for rideshare purposes only. Your personal information is used to match you with the commuters that best fit your location, destination, and schedule. The match list will 'suppress' your home address and any other information you want to keep private unless specified otherwise.

This form may not submit properly if you are not using Internet Explorer 5.0 or later. Please fill out all fields and select a choice from any drop down lists presented.

*denotes required field

First Name*

Last Name*

Home Address*

Home Address (cont.)*

Home City*

Home State*

Home Zip Code*

Home Phone Number*

Home Email

Employed By*

Work Address*

Work CityWork State*

Work Zip Code*

Work Email

Work Phone Number *

Work Begins at *

Work Ends at *

Are your hours flexible?

Time Flexibility*

Commute Distance

Smoking Preference

Contact Preference

Match Interests

Bicycle Experience

Current Mode of Transportation

Is your car available for ridesharing?

Carpool preference

Vanpool preference

Feedback

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Comments

Agree to terms

Terms: Your personal information will not be used for any other reason than to find the best rideshare opportunity for your needs. Further, you may choose what contact information you prefer to share with other interested commuters.