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Church Vehicle Request Form
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Department or Ministry Making the Request *
Purpose of the Trip *
Destination (city, state) *
Your First and Last Names *
Cell Number *
Pickup Date of Vehicle *
MM
/
DD
/
YYYY
Time
:
Return Date of CLEANED Vehicle *
MM
/
DD
/
YYYY
Time
:
Primary Driver (first name, last name, cell phone number) *
Only church-approved van drivers may drive the vehicles. Outside groups may not use the vehicles.
Cell Number *
Date of Birth *
MM
/
DD
/
YYYY
Drivers License Number (state and number) *
Drivers License Expiration Date *
MM
/
DD
/
YYYY
Secondary Driver (first name, last name, cell phone number)
Only church-approved van drivers may drive the vehicles. Outside groups may not use the vehicles.
Cell Number
Date of Birth
MM
/
DD
/
YYYY
Drivers License Number (state and number)
Drivers License Expiration Date
MM
/
DD
/
YYYY
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