Name
Home Address
City
Zip
Mailing Address
(if different)
City
Zip
Employer
Employer Address
City
Zip
Work Phone
(ex: 9251234567)
Ext
County Connection
Tri Delta Transit
BART
Shell
Safeway
• One $10.00 gift card or transit ticket per household.
• Funding for this promotion is limited. Gift cards and transit tickets are available while supplies last.
• Persons must commute from, through or to Contra Costa County only.
• 511 Contra Costa reserves the right to make changes to this promotion and its rules without notification.
• 511 Contra Costa reserves the right to end this promotion at any time.
• Persons must be at least 18 years of age to apply.