The University of Toledo

Charter Request Form

Please read the Charter Guidelines before filling out this form. In order for your request to be considered, you must check the box near the bottom of this form which states that you understand and agree to ALL of the guidelines.

* these fields must be completed

*Sponsor Organization:

*Program Name:

*Purpose of Charter:

*No. of Passengers:

*Contact Person:

*Contact Phone #:

*Email:

*Name of Dean/Director:

*UT Index & Account Code:

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Itinerary

(Please list complete address if the pick-up/drop-off location is not on UT´s main campus.)

DEPARTING INFORMATION

*Date:

*Time:

*Pick-Up Location:

*Drop-Off Location:

RETURNING INFORMATION

*Date:

*Time:

*Pick-Up Location:

*Drop-Off Location:

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Click Here if you have a Second Itinerary

Second Itinerary

DEPARTING INFORMATION

Date:

Time:

Pick-Up Location:

Drop-Off Location:

RETURNING INFORMATION

Returning Info.

Date:

Time:

Pick-Up Location:

Drop-Off Location:

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Click Here if you have a Third Itinerary

Third Itinerary

DEPARTING INFORMATION

Date:

Time:

Pick-Up Location:

Drop-Off Location:

RETURNING INFORMATION

Date:

Time:

Pick-Up Location:

Drop-Off Location:

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I would like an estimate only.

I agree to the Charter Services Guidelines.

Comments:

If you see this, leave this form field totally blank!