Request for Use of Church Van / Bus
Date of Request
*
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Month
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Day
Year
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Date/Time of Event
*
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Month
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Day
Year
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Hour
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10
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50
Minutes
AM
PM
AM/PM Option
Requested by
*
Submitter's email
*
Phone Number
*
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Area Code
Phone Number
Is a driver needed?
*
Yes
No
If "NO", please indicate the name of the responsible driver
Does the driver have a CDL license?
*
Yes
No
What ministry are you representing?
*
Is this a Messiah sponsored or supported function?
*
Yes
No
What is the function?
*
How many people?
*
(# of youth)
(# of adults)
Is there a need for wheelchair assistance?
*
Yes
No
Where will you be going?
When will you return?
Comments
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