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VEHICLE USE REQUEST FORM
Washington New Covenant Fellowship Church
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* Indicates required question
Pickup Date
*
MM
/
DD
/
YYYY
Time of Pick-up
*
Time
:
AM
PM
Return Date
MM
/
DD
/
YYYY
Time of Return
Time
:
AM
PM
Give dates If we have the same event on another day
Your answer
Requester’s Name
Your answer
Department
*
Your answer
Purpose of Trip
*
Your answer
Destination
*
Your answer
Driver’s Name(if other than requestor)
Your answer
No. of Passenger
Your answer
Contact Person
*
Your answer
Contact cell Number
*
Your answer
Contact E-mail
Your answer
VEHICLE
*
VAN #1 (High Top)
VAN #5
Isuzu Box
Required
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