Vehicle Request

441 La Moree Road
San Marcos, CA 92069

(760)750-4607 VOICE
(760)750-3204 FAX

VEHICLE RESERVATION FORM

Driver's Name:

Campus Department:

Date Requested (mm/dd/yy):

Date Returning (mm/dd/yy):

Trip Destination:

Chargeback Code:
(PLEASE PROVIDE A VALID CODE. WE CANNOT PROVIDE A VEHILCE UNLESS THE CODE IS VALID)

(SIX DIGITS)

Academic Course Number:

Number of passengers:

Choose Vehicle Preference:

SEDAN	8 PASSENGER VAN	ELECTRIC "GOLF CART"
PICK-UP TRUCK	LPG GOLF CAR	1-TON TRUCK
15 PASSENGER VAN	*(Requires class B or higher license with passenger endorsement)*

Special Request (Vehicle Preference):

This part of this form is for you, the person registering the vehicle.

Your Name:

Your E-mail:

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