GO NORTH EAST BUZZFAREANNUAL TICKET APPLICATION FORM

Annual Buzzfare Tickets will be dispatched without charge using Royal Mail First Class post to your home address. A replacement ticket will be issued if lost or stolen although there is a fee for this payable direct to Go North East.

BuzzFare tickets are valid for unlimited travel on all Go North East buses (except our night buses which are numbered with an “N” prefix). For more information on the range of BuzzFare tickets available visit and check out the BuzzFare pages.

Your Details / Please complete the entire section
First Name
Last Name
Home Address Line 1
Home Address Line 2
Post Code
Your Ticket Details / 1 zone (Colour) / 2 zone (Colours) / 3 zone + (Colours)
Colours of BuzzFare zones are required

Your Agreement : I hereby agree that I wish to participate in the BuzzFare Season Ticket Loan Scheme. By signing this agreement I accept the scheme conditions set out above.

Signed: ______Date: ______/______/______

Your Employers Agreement

I hereby agree that I have the authority to place ticket orders on behalf of Newcastle University and authorise the above application by the above employee.

Signed: ______Date: ______/______/______

Designation: ______

Refundsare available on tickets which are no longer required subject to our standard “Refund and Replacement Policy” which applies in all cases. Current prices and our refund and replacement policy are available on the BuzzFare pages of our website

IMPORTANT - USE OF YOUR OWN INFORMATION

Go North East will use the information you have provided on this application for the administration of its BuzzFare Season Ticket Loan Scheme only. We will ensure that this and other personal information we hold including electronic information held on computer will be stored securely. Access to information contained in this application will be restricted to those involved in the administration of the scheme.

I hereby apply for a corporate travel loan and give authority below to deduct the appropriate charge from my salary.

SALARY DEDUCTION AUTHORISATION

Signature …………………………………….Date ………………………….

Amount £……………………………….. Personnel no: ………………………….

School/Service: ……………………………… Job title: ……………………………….

If on fixed term contract, please indicate contract end date: ………………………..

Please select preferred payment method from options below

One lump sum payment (deducted from salary) Start date: ………………………….

Monthly instalment (deducted from salary) Start date: ………………………….

In the event of leaving the University, any outstanding balance on the travel loan will be deducted from final salary.

Please return completed application to Christine Cairns, Estate Support Service, 1st floor Agriculture Building (email:).

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OFFICE USE ONLY

Commencement Date ………………… Travel card type:

Renewal Date ………………… Cancel Date …………………