CTNite BUS Trip Request - Community Transportation Network (CTN)

Wizard Info

What is Your "House" Color?

Optional, but you will be sorted into yellow if you don't know this answer!

Name of Wizard or Business*

Address*

Street Address City State ZIP Code

Same Address for Billing?*

Yes
No

Billing Address*

Street Address City State ZIP Code

Primary Contact*

First Last

Primary Contact Phone*

Primary Contact Email*

Same Contact for Billing?*

Yes
No

Billing Contact*

First Last

Billing Contact Phone

Billing Contact Email*

Travel Plans

Trip Date*

Trip Name

Wizardly Brew Tour, Ganondorf's Zoo Trip, Sirius's Staff Shuttle

Trip Location*

Allen County
Outside of Allen County

Primary Contact will be Day of Trip Contact*

Yes
No

Is the primary contact the point of contact for the day of the trip?

Trip Contact*

First Last

Trip Contact Phone*

Trip Contact Email*

Your Journey (not underwater)

Total number of hours you need the CTNite BUS?*

Pickup Time*

:

Pickup Location*

Street Address City State ZIP Code

Destination*

Street Address City State ZIP Code

Return Time*

:

Returning to Pickup Location?*

Yes
No

Return Address*

Street Address City State ZIP Code

Who's Going?

Total Number of Passengers*

Please enter a number greater than or equal to 0.

Number of Passengers Using a Wheelchair*

Please enter a number greater than or equal to 0.

Number of School Age Passengers*

Please enter a number greater than or equal to 0.

Number of Preschooler Passengers*

Please enter a number greater than or equal to 0.

Anything Else?

Add Special Instructions or Important Trip Details

Notices

3 Hour Minimum*

I understand CTN bills for a minimum of three hours even if I require services for less than three hours.

Cleaning Fee*

I understand CTN bills for a minimum of three hours even if I require services for less than three hours.

Promo Code?

Yes
No

Enter Promo Code:*

CAPTCHA