Bus (29 passengers)
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Expected number of passengers
Name of Organization
Group Leader
Email Address
Phone (for contact by bus driver)
Cell phone (optional)
Departure Date Time AM PM
Return Date Time AM PM
Destination
Street Address
City State OH AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip
COTC Account Number (Fund/Location; Cost Share; Dept; Object)
OSU Account Number (Organization; Fund; Account)
Location for Pick-up at Departure