Token-Kiosk - The Federal Bridge Corporation Limited

Token Redemption Form

I, hereby acknowledge and agree to the exchange of tokens for a value of an equivalent number of crossings of The Federal Bridge Corporation Limited’s Blue Water Bridge at the ConneXion program’s presently discounted toll rate for passenger vehicles. The payment shall be credited to my ConneXion prepaid frequent traveller account. Should a pre-existing ConneXion account not be available, I agree to the creation of a new ConneXion account for this purpose based on the Terms and Conditions of the ConneXion program. I agree to the Terms and Conditions of the ConneXion program, a copy of which have been made available to me.

Name*
First Last
ConneXion Account Number - (leave blank if none exists)
Number of Tokens*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
*
I understand that the personal information collected on this form will only be used by Federal Bridge Corporation Limited (FBCL) to administer and validate online submissions under the Token Redemption Program. Your personal information may be stored for future reference, however under no circumstances will your information be sold, traded or shared with or accessible to any third-party providers. FBCL may release personal information when it is believed that the release is appropriate to comply with the law or protect FBCL or others’ rights, property, or safety.*
*
I agree to the above token exchange process and accept the terms and conditions of the ConneXion program*
Signature*