Charter A Coach


Departure Date: *
Charter Number: *
First Name *
Last Name: *
Group Name: *
Departure Location (Please be specific; i.e. building): *
Address: *
Directions from Nearest Highway: *
Departure Time: *
 : 
Farthest Destination (City, State): *
Places you will be visiting in the City: *
Addresses of places you will be visiting in that City: *

Please fill in the date and daily activities expected from our operator on the calendar below: (Include meal and sightseeing stops. Reservations are your responsibility).

Day 1

Day 1 Date:
Day 1 Time:
 : 
Day 1 Activities:

Day 2

Day 2 Date:
Day 2 Time:
 : 
Day 2 Activities:

Day 3

Day 3 Date:
Day 3 Time:
 : 
Day 3 Activities:

Day 4

Day 4 Date:
Day 4 Time:
 : 
Day 4 Activities:

Day 5

Day 5 Date:
Day 5 Time:
 : 
Day 5 Activities:

Day 6

Day 6 Date:
Day 6 Time:
 : 
Day 6 Activities:

Day 7

Day 7 Date:
Day 7 Time:
 : 
Day 7 Activities:

Time you will start home from your destination: *
 : 
Time you expect to arrive back at your home location: *
 : 
Do you plan to have alcoholic beverages on the coach: *
Type of Group:
If other, please specify:
Number of Students:
Number of Adults:
Number of Passengers: *
Name of Requested Coach Operator(s):
Group Leader: *
Daytime Phone: *
-
Evening Phone:
-
E-mail: *
Will the Group Leader be on the trip?: *

If no, please provide information for the person in charge, below.

Name:
Telephone:
-
Fax:
-
Special Needs/Concerns:

Hotel Information

Room reservations and costs are the customers responsibility unless otherwise arranged.

Room is held for driver?: *

Hotel 1

Hotel 1 Date:
Hotel 1 Name:
Hotel 1 Address:
Hotel 1 Phone:
-

Hotel 2

Hotel 2 Date:
Hotel 2 Name:
Hotel 2 Address:
Hotel 2 Phone:
-

If you require a copy of this itinerary, please print prior to clicking submit.