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