Golden Bay Carpool - RIDE Form
(This is where you Offer, Request or Remove a ONE-OFF Ride)
Ride Offered
Ride Requested
(Or: You can
REMOVE
a previous Listing)
Your Name:
Your Phone:
Your E-Mail: (If you want occasional newsletters)
Your Birthday - Day:
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Month:
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Jun
Jul
Aug
Sep
Oct
Nov
Dec
Why do I need your Birthday and your E-Mail Address?
Details of ONE-OFF RIDE:
Day
Month
From
To
Return?
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
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Christchurch
Motueka
Nelson
NorthIsland
Picton
Richmond
SouthIsland
Wellington
WestCoast
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Bainham
CentralTakaka
Clifton
Collingwood
Hamama
Heaphy
Kotinga
LigarBay
Mangarakau
Motupipi
Onekaka
Pakawau
Parapara
PatonsRock
Pohara
Puramahoi
Rangihaeata
Rockville
Takaka
TataBeach
Totaranui
Tukurua
UpperTakaka
Uruwhenua
Wainui
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Christchurch
Motueka
Nelson
NorthIsland
Picton
Richmond
SouthIsland
Wellington
WestCoast
------------
Bainham
CentralTakaka
Clifton
Collingwood
Hamama
Heaphy
Kotinga
LigarBay
Mangarakau
Motupipi
Onekaka
Pakawau
Parapara
PatonsRock
Pohara
Puramahoi
Rangihaeata
Rockville
Takaka
TataBeach
Totaranui
Tukurua
UpperTakaka
Uruwhenua
Wainui
Yes
No
Comments (e.g. Depart time, No. of passengers, etc.)
Please Click SUBMIT RIDE when you're done ->
Remove a Ride: (Please Tick)
Which Ride No?:
Birthday - Day:
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
---
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
(This is the birthday you gave when you posted the listing)
To remove a Ride, please fill in JUST this yellow section, then click "
Submit Ride
" above.
Why do I need your Birthday?
So that you can remove your listing later, (e.g. when you've found a ride)
NOTE: You can give any date you like (your cat's birthday, or your favourite person's), but you need to remember it so that you can prove who you are when you remove your listing. (This is so that nobody else can remove your listings!)
Why do I need your E-Mail address?
Occasionally I'd like to send you information or ask for feedback about the CarPool system.
If you don't want to be contacted, just leave the E-Mail BLANK.
Your Birthday and E-Mail will be kept confidential - I will NEVER divulge them to anyone else!
Back to the Ride Form
Back to the CarPool Home Page