UNIVERSITY TRANSPORTATION SERVICES Rental Form

date faxed ______

UNIVERSITY TRANSPORTATION SERVICES Rental Form

3141 READING ROAD

(Hours of Operation 730a-4p)

PHONE: 556-4424

FAX: 556-5173

DATE: ______

(Please Print)

GROUP NAME: ______

REQUESTER NAME: ______PHONE: ______

ACCOUNT NUMBER (Office Use Only):______

Note:

University Transportation Services: Earliest pick up and return time 8:00am

Latest pick up and return time 3:30pm

*After Hours and Weekend Vehicle Return to Enterprise Rent-A-Car (2820 Gilbert Avenue)

DATE OF VEHICLE PICK-UP: ______TIME: ______

*Rental Location: UC Transportation Enterprise Rent-A-Car

DATE OF VEHICLE RETURN: ______TIME: ______

*Rental Location: UC Transportation Enterprise Rent-A-Car

TRIP DESTINATION: ______

(City and State)

DRIVER NAME(S): ______

______

NUMBER OF PEOPLE TRAVELING: ______

TYPE OF VEHICLE: (how many)

Mini-van ______Motor Coach Bus ______Trailer ______

(circle one) 12 or 15 passenger ______(passenger vans can not be operated in Canada)

Car ______midsize compact full size

Print: ______Signature: ______

Advisor’s Name

Print: ______Signature: ______

SALD AdministratOR circle one: UFB AIC SGA SAB Nightwalk ClubSports Fraternity/Sorority

other: ______

Phone Number ______