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Post this for folks to count trips!

Organization:

Contact Name:

Phone:                                                             Email:

Total number of employees:                          100% participation?:  yes / no

 

Day

Bike

Walk

Carpool

Vanpool

Telework

Bus

LEFE

Vehicles*

Other*

Total # of employees at work that day

Monday

 

 

 

 

 

 

 

 

 

Tuesday

 

 

 

 

 

 

 

 

 

Wednesday

 

 

 

 

 

 

 

 

 

Thursday

 

 

 

 

 

 

 

 

 

Friday

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

* Low-emitting & Fuel efficient vehicles

* Please describe “Other”:

 

 

PLEASE NOMINATE PARTICIPANTS FOR SPECIAL AWARDS:

 

Best First-Time Effort

Name:

Explanation:

 

Most Dedicated

Name:

Explanation:

 

Most Unusual Commute

Name:

Describe:

 

 

This is for your record keeping, please fill out final tally sheet on our
website www.commuteoptions.org OR e-mail it to ericapoulos@bendbroadband.com

 

Email photos to ericapoulos@bendbroadband.com – Questions? 541-550-0924 or 541-330-2647



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