Platinum Club Application

Please complete this form in its entirety. Any blank spaces may cause delay in processing and sending your Platinum Club Card.

 First Name 

   

 Last Name 

   

 Address 

   

 City 

   

 State 

   

 Zip Code 

   

 Home Phone 

   

 Work Phone 

   

 E-mail Address 

   

 Boarding Location in Staten Island 

   

 Boarding Location in New York 

   

The Platinum Club Card entitles its members to purchase commuter tickets at discounted prices and will expire after 3 years and/or after 60 days of non-use. All Platinum Club Card Members receive their own card and the use of the card is solely for that member. Sharing or lending the card to a non-member will result in the immediate revocation of the card.

We offer four variations of discounted commuter ticket packages with no expiration. We also offer a "Platinum Plus Miles program" which helps earn "FREE" commuter tickets, based on the dollar amount of the fare you purchase (i.e. purchase $185.00 group of tickets and you will earn 185 miles, etc.) Miles have no expiration date. You must be an active Platinum Member to earn and redeem program miles.

By submitting this Platinum Club Card On-line Application, you acknowledge that you have read and understand the terms of this application.