Customer Information

= required information
 
Department/Organization:
Representative: 
Complete Campus Address:
Phone:
E-mail Address:
(all responses will come to this address)
Charter Contact Person: Name    Mobile Phone
(someone who will be present on the charter)
Date Submitted:

If different from Representative

Billing Contact:
Phone: 
E-mail Address:


Trip Information


Type of Bus:

COACH
Coach Bus

TRANSIT
Transit Bus
TRANSIT
Van

SUV
SUV

Date(s) of Trip:

    Purpose of Trip:

  Please describe in more detail below:
Number of passengers:

Departure Point Information:

Destination Point Information:

    Return Pickup Point:

    Return Destination:

Special Instructions:
Billing will be done over the phone or via e-mail

Please Note: submitting this form represents a request for an estimate for charter service. A member of the Charter Department will contact you with this information. Service will not be provided until a contract is signed.