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Agency Ride Request
BOOK A RIDE - AGENCY
To book a ride, please complete the following information:
(Note: Agencies must first be
before booking a ride).
To register as a rider, please complete the following information:
Name of Agency*
Alternate Telephone Number
Date of ride* (ride request must be received by 4:00 pm, two business days prior to the ride)
Name of Rider
Telephone Number of Rider
Can we leave a message?
Pick Up Address*
Drop off/destination Street address*
Name of Building
Please specify additional stops
Expected Length of Wait Time*
Number of Riders*
Names of Additional Riders
Please understand that the ride will not be booked until you receive confirmation from the Routes dispatcher. The dispatcher will advise you of applicable fees at the time of confirmation.
Thank you for contacting us.
We will get back to you as soon as possible
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All fields with asterisks are mandatory
Riders’ Rights and Obligations
Routes Connecting Communities Inc.
112 High Street, Sutton West, ON
Charitable registration number: 888551868RR0001