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Van Request Form

Eastern University students, staff and faculty may use this form to request usage of the large passenger vans available for general university purposes.  (see Vehicle Policy, section III)

SUBMISSION OF THIS FORM MERELY CONSTITUTES A REQUEST AND DOES NOT GUARANTEE THAT UNIVERSITY VEHICLES WILL BE AVAILABLE TO YOU DURING THE TIME FRAME THAT YOU SPECIFY.

    * Eastern’s Van Fleet is comprised of 5 large passenger vans that seat 7-12 people. 
    * Submit your request as early as possible before your event.
    * If vans are not available to you, your organization will have to rent transportation from one of Eastern’s preferred car rental vendors
    * Have a contingency plan. Your reservation could be cancelled due to maintenance issues, weather problems, or other unexpected ‘Acts of God’.  RESERVATION CONFIRMATION IS NEVER A GUARANTEE.
  * Requests will not become reservations unless ALL information requested below is provided, including specifying Approved Eastern Drivers. (see Driver Application)

If you do not receive a reply to this request within 3 business days of your request, please contact Doris Grazulis in Athletics at xt. 1736.  

If you have any questions about the Vehicle Policy or the Driver Application process, please contact Jim Magee, Director of Safety & Security at jmagee@eastern.edu

Thank you.

Contact Information

Your Name:
Your Phone:
Your E-mail:
Person picking up Key:
Key Collector's Phone:

    If the Key Collector is not the driver, then they must present the van license(s) of the specified driver(s) in order to collect the keys.

    If the Key Collector is not traveling with the driver, please specify the driver's contact information in the comments box at the end of this form.

Organication or Dept:
Org. Advisor:

Driver Information

Driver's NameVan License Exp. Date:
Driver #1
Driver #2
Driver #3
Driver #4
Driver #5
Driver #6

Trip Information

Departing Day, Date & Time: (AM/PM)
Returning Day, Date & Time: (AM/PM)
Destination:
Purpose:
Number of Vans:
Number of Participants: (minimum of 7)
Removal of seats necessary:

Note:  Eastern University Tax-Exempt Gas Credit Cards are available for local, regional and cross-country trips.

Comments/Additional Information:

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