Bell Street Bus Company
Request for Charter Service


Charter Service  Bus

Date:

Time:

Contact Name:

Telephone / Fax:

Group:

Destination:
Date of Charter:

Day of the Week:
Departure Time am/pm:
Departure From:

Leave on Return:

Back By:

SIZE OF GROUP:
Number of Children
(under 12):


Number of Adults:

Number of Buses:

Number of Seats: 40   50   55   57   69  


I understand that this is a request only, and that I will be called to confirm the charter.


Please fill out the following where appropriate:

Other Comments / Requests



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