Acknowledgement:
By submitting this form I am indicating that I have discussed the cost with the appropriate prepaid card and /or ticket book vendor and am aware of the cost that is involved with the creation of the prepaid cards and /or ticket books. I am authorizing DRB to send the series numbers to the vendor listed above for the creation of the cards and/or ticket books, and I will be held responsible for the cost. Please have the first few codes from each series printed to test before printing all codes in the series. If the codes are printed or formatted incorrectly and do not scan, DRB is not responsible for any reprinting of ticket books or gift cards.