Add Funds to SWITA Student Account
Rider Name (First and Last)
*
Parent/Guardian Name
*
First Name
Last Name
Person Paying on Account (if different than Parent/Guardian)
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Select the quantity of rides you wish to purchase. If you have multiple riders we will divide the rides among the riders equally. If you have any special instructions or need to make changes to schedules, please email swita@swipco.org or call 712-243-2518. Thank you!
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Student Transportation (each way)
$1.50 per ride each way.
$
1.50
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Item subtotal:
$
0.00
Date Signed
*
-
Month
-
Day
Year
Date
Signature
*
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Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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