Application for TollTag
Personal Information     * indicates a required field.
Business Name
First Name
Middle Initial
Last Name
Phone #            ext   
Second Phone #            ext   
Country
Address
 
City
State
Zip Code
E-mail Address
Retype E-mail Address
Card Type
Card Number
Expiration Date
Security Code

If you have an existing Causeway Bridge toll tag account and wish to add a tag to it please provide us with an account number or a toll tag number for the account you wish to use.

Toll Tag Number
Account Number

You may have your Crescent City Connection (CCC) TollTag activated for use on the Causeway. If you already have a CCC TollTag and provide us with your CCC TollTag number, no deposit is required at the Causeway.

My CCC TollTag Numbers are:

Please list all tags and separate with commas.



TOLL TAG SCHEDULE
TOLL CLASS VEHICLE CONFIGURATION TOLL AMOUNT LOW BALANACE AMOUNT A. PREPAID FEE B. TAG DEPOSIT C. # OF TAGS EXTENDED (A+B*C)
1 2 AXLES UNDER 7' 2.00 10.00 40.00 12.50
0.00
2 3 AXLES UNDER 7' 4.50 18.00 54.00 12.50
0.00
3 4 AXLES UNDER 7' 6.00 24.00 72.00 12.50
0.00
4 5 AXLES UNDER 7' 7.50 30.00 90.00 12.50
0.00
5 6 AXLES UNDER 7' 7.50 30.00 90.00 12.50
0.00
6 MORE THAN 6 AXLES UNDER 7' 7.50 30.00 90.00 12.50
0.00
7 2 AXLES OVER 7' 6.00 24.00 72.00 12.50
0.00
8 3 AXLES OVER 7' 9.00 6.00 108.00 12.50
0.00
9 4 AXLES OVER 7' 12.00 48.00 144.00 12.50
0.00
10 5 AXLES OVER 7' 15.00 60.00 180.00 12.50
0.00
11 6 AXLES OVER 7' 15.00 60.00 180.00 12.50
0.00
12 MORE THAN 6 AXLES OVER 7' 15.00 60.00 180.00 12.50
0.00
RECREATIONAL VEHICLE DISCOUNT FARE TAG SCHEDULE(EXPIRES AFTER 1 YEAR OF USE)
7R 2 AXLES OVER 7' 4.00 8.00 20.00 12.50
0.00
8R 3 AXLES OVER 7' 5.00 10.00 25.00 12.50
0.00
9R 4 AXLES OVER 7' 6.00 12.00 30.00 12.50
0.00
TOTAL PREPAID FEES AND DEPOSITS:


IMPORTANT INFORMATION - PLEASE READ AND SIGN BELOW
I hereby apply for a license to use the TollTag(s), which, subject to all applicable rules of the Greater New Orleans Expressway Commission and
other applicable governmental entities and agencies, will allow me to gain passage via designated lanes located on the Lake Pontchartrain Causeway.
I agree that I have read, understand, and will be bound by the terms of the Agreement on this Application.
If I have selected one of the credit card options on this Application and listed a card account number, I hereby authorize you to charge periodically
the credit card indicated for the amounts necessary to satisfy my obligations under this Agreement. I understand that the initial total payment due
with submission of this application is the Prepaid Fee above for each tag plus $12.50 per Tag deposit. The Low Balance Amount for this account will
be the sum of the Low Balance Amounts for all Tags issued under this account as specified in the Tag Schedule above.


Exactly As It Appears On Credit Card

Name On Card
Business Name

Click here to accept the above mentioned terms



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