* Company: *Number of Employees in the Bay Area: * Number of Employees at your Site: *Spare the Air Coordinator's Name: * Title: * Phone Number with Area Code: * Address: * City * Zip Code * Fax Number with Area Code: Email Address:
How did you hear about the Spare the Air Employer Program? (Check one) Green Business Program Colleague or Friend Spare the Air Website Air Quality Resource Team Event Other
What type of alternative commute options does your company currently offer? (Check all that apply) Carpools Vanpools Carsharing Bicycle Parking Commuter Check Guaranteed Ride Home Program Subsidy for public transit Other None
Would you like to schedule a free consultation with a 511 Employer Services Representative to help you establish an alternative commute program at your company? (Check one) Yes No
Submitting this form will register your organization to receive notification of Spare the Air days. Please let us know HOW you would like to be notified. Fax Only Email Only Both Fax and Email
Please note that if you would like to be notified by email or email and fax, you MUST register using the email notification registration form to sign yourself up. We CANNOT do this for you. It takes just a minute. You will not be contacted to do this.
If you experience technical difficulties and are unable to submit this form electronically, please print out the completed form and fax to: 415-749-5101 (no cover sheet is necessary). We apologize for any inconvenience.
If you have any questions, send an e-mail to: sparetheair@baaqmd.gov