Request A charter

Name

First Name

Last Name

School

Name of School

Address

State

City

Phone Number

Fax Number

Method Of Payment

School Check School Purchase Order Credit Card Cash

PLEASE NOTE: “If paying by school purchase order, a copy of the school purchase order must be emailed to our office two days before the day of the trip.”

Pickup

Date Of Field Trip

Pick Up Time (From School)

Pick Up Address

State

City

Destination

Name Of Destination

Destination Address

State

City

Is This A One Way Trip?

Yes No

Pick Up Time (From Destination)

Other

Number Of Buses

3 per seat small children (Preschool-Kindergarten) = 65-71 passengers per bus maximum

2 per seat larger children (1st grade & up) = 44 passengers per bus maximum

Any Wheelchairs?

Yes No

No. of wheelchairs

No. of of walk ons

Additional Information

Billing Information

First Name

Last Name

Name of Business

Billing Address

State

City

Phone Number

Fax Number

Departure

Date Of Trip

Number Of Buses

3 per seat small children (Preschool-Kindergarten) = 65-71 passengers per bus maximum

2 per seat larger children (1st grade & up) = 44 passengers per bus maximum

Pickup Address

State

City

Pick Up Time (From School)

Destination

Name Of Destination

Destination Address

State

City

Is This A One Way Trip?

Yes No

Pick Up Time (From Destination)

Other

Any Wheelchairs?

Yes No

No. of wheelchairs

No. of walk ons

Payment Method

Cash Credit Card Business Check

Additional Information

Request A Charter

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