Transcription of Application for MTA Reduced-Fare MetroCard forSenior ...
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Application for MTA Reduced-Fare MetroCard forSenior ...
1 Last Name First Name Street Address Apt. No. City/Borough State Zip Code Home Telephone Work/Other Telephone Date of Birth Your Social Security Number (optional) Code Male Female mta Application for MTA Reduced-Fare MetroCard for Senior Citizens(65 years or older) ALL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL General Information If you receive Medicare Benefits based on a Disability, use the Application for People with Disabilities. For telephone assistance in completing this Application and for answers to questions about it, call 718 330-1234. If you are unable to complete the form yourself, it can be completed by anyone you choose to assist you or you can visit our NYC Transit reduced fare Service Center located at 3 Stone Street in downtown Manhattan, Monday to Friday 9 to 5 or MetroCard Bus to apply in person.
3. The EasyPay Option – Sign up for EasyPay automatic refills (All payment information will be kept strictly confidential.) Start paying for your rides with $10.
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