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Customer Information

*Your Name:
*School Name and County:
*Address:
*City:
*State:
*Zip:
*Name of Group Leader going on trip:
*Work Phone:
*Fax:
Home Phone:
Cell Phone:
Email:
 
*Back up Group Leader going on trip:
*Work Phone:
*Fax:
Home Phone:
Cell Phone:
Email:
 

Your Group

Group Name:
Grade Level:

Purpose of Trip:

Note – The total number of passengers will dictate the required seating capacity and number of vehicles that we reserve for your Charter. The actual total capacity will appear on your Agreement and will equal or exceed the number you provide below.

*Total maximum number of passengers 

Motorcoach

Motorcoaches typically feature plush seating, climate control, a restroom, and most are VCR equipped.

If you have favorite commercial carriers and/or drivers, please name them below. We will try to honor requests, but cannot guarantee their participation in your charter.

Do you wish to request a commercial carrier by name?

Please list:


Do you wish to request drivers by name? 
Please list:

Do you require wheelchair lift equipped motorcoaches?

If so, how many? 

Please list any additional amenities that you require:

Charter date

Transportation resources are subject to availability, therefore, multiple date options will increase the likelihood of securing your service. As a general rule, there is more availability Monday through Wednesday and much less availability on Thursday and Friday. All dates should have prior approval from your administrator.

Please include the month, day and year for each day of service.

Example: for one day of service on May 12, 2006, please write 05/12/06. For three days of service on May 19 - 21, 2006, please write 05/19/06, 05/20/06, 05/21/06.

*First choice of your approved date(s) of travel:

Second choice of your approved date(s) of travel:

Third choice of your approved date(s) of travel:

Schedule of Service

*Place name (school or other) and complete address where service will begin:

*Time for service to begin. Example: 9:00 a.m., or 12:00 noon, or 4:00 p.m.

Special directions to the address above and / or loading instuctions for the driver(s):

Under Complete Itinerary, please list the date(s), approximate times, place names, and, when possible, the addresses of all places to which you wish to be transported. You may also include pick up times from locations.

Example:
05/12/06, 10:00 a.m., Maryland Science Center, 601 Light Street, Baltimore, MD 21230.

1:30 p.m., pick up at MD Science Center

2:00 p.m., National Aquarium, Pier 3, Pratt Street, Baltimore, MD 21202

3:30 p.m., pick up at Aquarium

If you do not provide detailed information now, it is assumed that you will provide it at least 30 days prior to your charter date. Please note that service not accounted for here may result in a higher charter cost. For overnight charters, please include all accommodations information including telephone numbers.

*Complete Itinerary:

Special instructions and/or directions for the driver(s):

*Where will service end? If different than where service began include place name (school or other) and complete address:

*Time for service to end. Example: 4:30 p.m.

Special directions to the address above and / or unloading instructions for the driver(s):

Select Or, choose to start over.


1500 N. Beauregard St • Suite 110 • Alexandria VA 22311 USA
703.379.2300 • 800.541.7936 • Fax 703.379.5030 • Copyright © 2006 Julian Travel Associates, Inc. |  Privacy Policy : Credits