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Name*:
Email*:
Address*:
City*:
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Zip*:
Phone*:
Alternative Phone #:
Name of Group:

Trip Information
Trip Date/Time*:		Return Date/Time*:
# of Passengers*:
Destination*:		State*:

Pick-up/Drop-off Information		Stop Information
# of Stops*:		Address*:
I Prefer this type of bus (check one)		City*:
	A Motor Coach	State*:
	A School Bus
Trip Plan
I Prefer my trip to be (check one)
	The Lowest Rate: May include date or time changes, pick-up changes, number of stops, bus selection, etc.
	NO Modifications: Please do not change any of the above noted information.
	Suggestions: Please suggest in your professional opinion the best way to arrange this trip.

*	Rules and Regulations: I checked this box indicating that I have read the rules and regulations, and I understand that this is a quote, and not a reservation.
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