E-ZPass

Account Holder

Prefix

First Name

Middle

Last Name

Address

Address 2

state/province

ZIP

City

Country

Email

Re-enter email

Password

Password must be at least 8 characters long and contain at least one uppercase letter, one lowercase letter, one number, and one special character.

Re-enter Password

Please select any four numbers to be used when calling the Customer Service Center to verify your identity.

Re-enter PIN

Primary Phone

Mobile Phone

Evening Phone

Vehicles

Vehicle 1

Country

State

Plate Number

Vehicle Type

Plate Type

Year

Make

Model

Transponders

interior transponders

You will be charged $10.00 per transponder.

exterior transponders

You will be charged $15.00 per transponder.

Plans

T Resident Discount Plan (TR)

For Tennessee residents. 2 axle passenger vehicles under 7,000lbs. gross vehicle weight (GVW). Proof of residency is required. You may send proof of residency by email to ezpass@ritba.org, fax {number}, or mail to TTBA E-ZPass. In order to demonstrate proof of residency you must submit at least 1 of the application documents listed: (1) Utility Bill (2) Tax Bill (3) Copy of Rental or Lease Agreement (minimum of 6 months).(4) T College Student ID (5) T State Driver's License and Registration (must provide both). TTBA reserves the right to request re-certification of the T resident plan.

Thirty Day Frequent User Plan (T6)

A discounted rate of $0.91per trip, for 2 axle 4 tire passenger vehicles under 7,000 lbs. gross vehicle weight. This is for customers who travel over the Newport Pell Bridge and are not eligible for the Resident Discount Plan. The plan becomes effective at 12:01am on the day the plan is added to the transponder and the plan will be activated upon the 1st trip taken. This plan is transponder specific.

T Gross Vehicle Weight Plan (TGVW)

A discounted rate of $0.83 per trip for 2 axle 4 tire passenger vehicles only. In order to demonstrate proof of eligibility you must have proof of Rhode Island residency (see section 3d) and submit a copy of the vehicle's registration listing the vehicle's gross vehicle weight as between 7001-8000 lbs. TTBA reserves the right to request re-certification of the Gross Vehicle Weight Plan.

Thirty Day Unlimited Discount Plan (TUNL)

2 axle passenger vehicle under 7000 lbs. gross vehicle weight (GVW). Unlimited trips in a 30 day cycle on the Newport Pell Bridge. To enroll in this plan call Customer Service 877-T-EZPASS (number)

Payment

Standard Plan

1

$25.00

Interior Transponders

1

$10.00

Exterior Transponders

0

$0.00

Additional Prepaid Toll Amount

Total

$35.00

Primary Payment Method

Name on Card

Card Number

CVV

Expiration Date

Zip Code

Secondary Payment Method

Name on Card

Card Number

CVV

Expiration Date

Zip Code

Statement Delivery

Monthly by EmailMonthly by MailNone

Customer Agreement

My submission of this form and payment of the required deposits constitute my agreement to use E-ZPass for toll passage subject to all applicable terms and conditions. I understand and agree that by using E-ZPass to cross E-ZPass facilities, the resulting toll charges will be deducted from my prepaid E-ZPass account. By clicking on the 'I Accept' button, I understand and agree that I have read, understand and accept the terms and conditions accompanying this E-ZPass on-line enrollment form, which is part of my agreement. Please re-enter your name below. This is required to confirm your agreement to the Terms and Conditions.

First Name

Last Name