100%

There will be a cancellation fee based on the minimum per day charge if 24 hour cancellation notice is not given. (Exception for Inclement Weather)

Questions marked with a * are required

Organization Name

Organization Box Number or MSC

Contact Information

First Name

Last Name

Phone

Email Address

Date/Time

Destination (City/State)
If staying in Harrisonburg, please indicate where you will be going.

Purpose of trip / Venue
Please indicate reason for trip and final event destination.

Departure Date

Departure Time

Return Date

Return Time

Vehicle

Number of passengers

Number of vehicles needed

Driver Name(s) / Phone #
If requesting a bus, type "None".

Vehicle Requested:

Full-Size Car

Mid-Size Car

Mini-van

12 passenger seats (seats 10 comfortable)

Suburban

Escape

Light Duty Truck

Chauffered Vehicle

Trip Bus (seats 28-37 passengers)

Motorcoach (seats 50-56 passengers)

Bus Boarding Location

Requester Name:

First Name

Last Name

I have read, understand and will abide by the Transportation Policy set forth on the Event Management website under *Policies*. Student Organizations: By submitting this request, I pledge that I am the authorized N&B's rep. for my organization.