Enclosure - C-01-12b

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Attachment B
Federal Transit Administration
Office of Safety and Security

Information Request Form

Name

  Last First
Professional Title

Organization

Mailing Address

City

State/Prov.

Postal Code

Business Telephone

Fax

Email Address

The Federal Transit Administration is planning a series of seminars on the topic of Transit Security. If you are interested in attending, please fill out this form and fax it to Jennifer Whalley at 617-494-2569. You will be notified when the dates and other detailed information about the seminars is available. You will then be able to indicate which session you would like to attend.

Please take a few minutes to answer the following questions:

  1. Indicate the type of organization you represent:

___Urban Transit System: q < 200,000 q > 200,000

___Transit Modes: q Bus q Rail q Paratransit q Other
  Please specify_______________________

Contact
Jennifer Whalley

Phone: 617-494-2686
Fax: 617-494-2569
Email:mailto:whalley@volpe.dot.gov

US DOT Volpe Center
55 Broadway, DTS-930
Cambridge, MA 02142