Rotarian Electronic Sign

Shuttle - Application


* = Required Fields

Courtesy Shuttle Application Contact and Event Information
Event Title *
Event Date(s) *
Event Location *
Sponsoring Rotatarian
Event Coordinator/Contact Name *
Event Coordinator/Contact Phone *
Insurance Carrier
Insurance Policy Number
Desired Shuttle Hours/Dates *
Rotary Club Fundraising Opportunity *
Will overnight security be provided *
Storage location of shuttle when not in use? *
Any additional information for consideration