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Transportation Request Form
Today's Date
First Name
Last Name
Email
Name of Ministry Requesting
Purpose of request
Date you are Requesting
Date you are Returning
Do you have 3 or more years of experience driving?
Yes
No
I agree to the following guidelines for using the van.
I have a valid driver's license and I will take full responsibility for any speeding ticket or any other violations.
I will take full responsibility for returning the van clean.
When driving the van make sure you turn on the lights.
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