Date (mm/dd/yyyy):

Name of Contracting Party/Email Address:

Address:

Telephone: Fax:

Destination(s):

Additional Stops:

Pick-up Location(s)/Address:

Drop-off Location(s)/Address:

Travel Beginning Date (mm/dd/yyyy):

Travel Ending Date (mm/dd/yyyy):

Number of Bus(es) Requested:

Departure Time (indicate AM/PM):

Return Time (indicate AM/PM):

Number of People:

Number of Hotel Rooms:

Number of People Per Hotel Room:

Meals

Breakfast

Lunch

Dinner

In addition, if you would like for Excel Charter to include a quote for prices of major attractions, restaurants, or other sites that you may visit, please specify: (ex. Six Flags, Aquarium, Coca-Cola Plant, Disney World, Sea World, Universal Studios, Wet and Wild, etc.):

Please give us an overview of your trip, detailing what you plan to do. (We are interested in knowing if this is a tour, if our driver will need to transport you to different sites once you reach your destination, etc.):

Please call our office if you do not receive a quote within 24-48 hours. Revised 2009

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