Reservation Request Form (Broward)

School/Organization (required)

Requestor's First Name (required)

Requestor's Last Name (required)

Requestor's E-mail (required)

Group/Team (required)

Bookkeepers E-mail (required)

Bookkeeper Name (required)

Note: “Invoice will be sent to Bookkeeper listed.”

Fax No. (required)

Phone No.

Number of Buses (required)
(2 per seat = 43 pass.) (3 per seat = 65 pass.)

Date of Trip (required)

Please add “One Date Per Form”

Hours

Total $ [calculated calculated-129 "number-409 * 95"]

Pick-Up Location Name and Address

Pick-Up Location Name

Address (required)

City (required)

State (required)

ZIP (required)

Loading Area (required)

Pick-Up Time
(required)

Person Traveling w/ Group
(First Name) (required)

Person Traveling w/ Group
(Last Name) (required)

Contact Person Emergency
Phone No (required)

Destination Location Name and Address

Location Name (required)

Address (required)

City (required)

State (required)

ZIP (required)

Departure Time (required)

Special Instructions

Payment Information

District PO
—Please choose an option—YesNo

Enter PO Number:

School Check
—Please choose an option—YesNo

I'm paying my invoice online with a credit card (required)
—Please choose an option—YesNo

I'm paying my invoice cash:
—Please choose an option—YesNo

One day cancellation notice required to avoid minimum payment of $100.00 USD (PER BUS), the cancellations need to be made during business hour from 8:00 AM to 3:00 Pm Monday thru Friday

THE INSTITUTION AND THE PERSON MAKING THE RESERVATION ARE RESPONSIBILE FOR CANCELLATION PAYMENT.

Cancellations must be done via e-mail ONLY. Phone cancellations will not be accepted.

Changes to the reservations must be done via e-mail ONLY.

A charge of 2.5% will be applied to invoices over 30 days old.

Bus (es) must depart destination at the designated time. Late buses are subject to additional costs.

Signature Date:

Note: Your trip is not confirmed until you receive an e-mail confirming your bus (es).