CDC Passenger Fare CardPrimary Card User(Required) First Last Address(Required) Street Address Address Line 2 City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you completing application on behalf of a student?(Required) Yes NoSchool Attending(Required)Date of Birth(Required) DD slash MM slash YYYY Grade(Required)Gender(Required) Male FemaleContact Phone Number(Required)Email(Required) Routes Frequently Travelled on(Required)Will the card be used by multiple passengers(Required) Yes NoAdditional User 1Additional User Name(Required) First Last School Attending(Required)Date of Birth(Required) DD slash MM slash YYYY Grade(Required)Gender(Required) Male FemaleAdditional User 2Additional User Name(Required) First Last School Attending(Required)Date of Birth(Required) DD slash MM slash YYYY Grade(Required)Gender(Required) Male FemaleAdditional User 3Additional User Name(Required) First Last School Attending(Required)Date of Birth(Required) DD slash MM slash YYYY Grade(Required)Gender(Required) Male FemaleAdditional User 4Additional User Name(Required) First Last School Attending(Required)Date of Birth(Required) DD slash MM slash YYYY Grade(Required)Gender(Required) Male FemaleCard Fee Price: Initial Recharge Amount(Required) Total Amount Payable Consent(Required)This Passenger Fare Card can only be used on CDC Gladstone bus services. This card remains the property of CDC Gladstone. I agree to ensure that the card has sufficient funds to cover the passenger’s bus fares at all times. Failure to do so may result in suspension from bus services. If the Passenger Fare Card is misplaced, stolen or damaged, it can be ‘blacklisted’ to prevent anyone else from accessing the money on the card. The balance can then be transferred to a new card. In order to purchase a new card and recover the funds I agree to notify CDC Gladstone and pay the $10.00 card fee to purchase a new card. If I no longer want or need the Passenger Fare Card, I can request a refund of the remaining card balance. I also have the option of transferring the balance to another Passenger Fare Card. N.B. These cards have fine copper wires running through the inside. Once these copper wires are damaged the card will not work. Do not hole punch, cut, bend, pierce, bite/ chew on the card. It is the passenger’s responsibility to ensure the card is stored securely to prevent any unnecessary wear and tear. I agree to the Terms & Conditions. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
