A printer iconPlease complete the form and then print it out. Note you will not be able to save or submit the application below electronically. You must read and understand the Metropass Discount Plan Program Terms and Conditions.
Customer Information
 
 
 
 
 
 
 
 
 
New Banking Information You must include a cheque clearly marked "VOID" so we can debit your chequing account. Please note that line of credit or credit card cheques are not accepted. If you do not have a chequing account, you can use your savings account if you take your application to your bank and have your banking information completed and officially stamped by the bank representative.
We will debit your account at the first of every month. An image of a voided cheque
 
Old Banking Information (if available)
 
For Office Use Only
Validate By / Input By
Customer #
 
I (we), the undersigned, have read the terms and conditions included as part of the application and hereby authorize the Toronto Transit Commission to withdraw the amount due on my montly Metropass Discount Plan bill from my financial institution.
Signature
Date
 
Print and Sign Your signature is required. Please print the application and sign and date the form in the space provided underneath, "I (we) the undersigned, have read the terms and conditions…" in order to be accepted on the plan.