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Vehicle Use Request Form
This form must be completed , and returned at least SEVEN days prior to vehicle use. (ONLY persons on insurance are allowed to drive.)
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* Indicates required question
Date of Application
*
MM
/
DD
/
YYYY
Ministry
*
SWAG
DIVA
MACK
YUNG
YUNG Adult
FAM
PEW
Other:
Requester's Name
*
Your answer
Contact Phone Number
*
Your answer
Contact Email Address
*
Your answer
Purpose of Vehicle Use
*
Your answer
Requested Date of Vehicle (Pick Up)
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Requested Date of Vehicle (Drop Off)
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Vehicle
*
Gray Van
White Bus
Insured Driver Name (#1)
*
Your answer
Driver's License Number
*
Your answer
Phone Number
*
Your answer
Insured Driver Name (#2)
Your answer
Driver's License Number
Your answer
Phone Number
Your answer
Number of Expected Riders
*
Your answer
By typing my first and last name, I acknowledge that I have received and understand the Vehicle Use Policy that requires clean up and restoration after each use.
*
Your answer
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