Septa Parking Card Form PDF Details

Are you unfamiliar with the process of obtaining parking privileges at SEPTA stations? Obtaining a valid SEPTA Parking Card Form is essential if you want to secure a convenient and long-term parking spot. Whether it be walk-on or drive-on passengers, the online application for registering for access has made the entire process relatively simple. In this blog post, we'll provide an overview of how to fill out the form and answer common questions about acquiring your own rail station reserved parking permit. So let's get started!

QuestionAnswer
Form NameSepta Parking Card Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessepta cct forms, septa proximty pass, septa station parking, septa proximty pass get

Form Preview Example

SEPTA PARKING PROXIMTY CARD & MONTHLY PASS ORDER FORM

Norristown Transportation Center Parking Garage

PARKING ADMINISTRATION & INFORMATION: 215-580-6576

Complete the information below and return the entire form to:

Vehicle Information

Eden’s Corp./SEPTA

License Plate: _____________

Make: ________ Model: _________

P.O. Box 40656

Vehicle Color: __________

Philadelphia PA 19107-0656

 

 

 

 

 

 

 

 

 

 

 

 

Shipping Information

Customer Name

 

 

 

 

Shipping Address

 

 

 

 

 

 

 

 

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer Contact Information

Daytime Phone

 

Evening Phone

 

Cell Phone

 

 

 

Email Address

 

Alternate Email

 

 

 

 

 

 

 

 

 

 

 

Select Products

 

 

Check if applicable

 

 

 

 

 

 

__ SEPTA Employee

Product

Price

# Male

# Female

Total Price

 

__ Amtrak Rider

 

 

 

 

 

__ Company Program

 

 

 

 

 

 

Proximity Card**

$35.00

 

 

 

 

__ Senior Citizen

TransPass

$83.00

 

 

 

 

 

 

 

Zone 1 TrailPass

$91.00

 

 

 

 

SEPTA employee and

 

 

 

 

 

 

Amtrak Riders must send

Zone 2 TrailPass

$127.00

 

 

 

 

 

 

 

 

 

copy of employee ID or

Zone 3 TrailPass

$155.00

 

 

 

 

 

 

 

Monthly Ticket.

 

 

 

 

 

 

Zone 4 TrailPass

$176.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anywhere Pass

$191.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cross County฀฀฀฀฀฀฀฀฀฀฀฀$103.00

 

 

 

 

From Zone

To Zone

 

Intermediate

$75.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Order

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

** First time proximity cards purchases require a $5.00 deposit.

Payment Information

Card Type (Circle) Card Number

Visa

American Exp.

Discover MasterCard Other

Expiration Date:

Signature

Terms

Payments must be made by USPS to the address listed above.

A $5.00 deposit is required for first time purchases of proximity cards. Orders must be postmarked prior to the 10th day of the preceding month.

Program membership may be revoked if order is not received for two consecutive months. Orders filled on an as received basis. Form submission does not guarantee a permit space. All costs/fees are in accordance with current tariff rates.

Checks submitted should be made payable to: “Edens/SEPTA”