Personal or Business Group Trip Request

Thank you for trusting CTN with your transportation needs. We look forward to serving you!

If your trip is in less than one week please call (260) 420-3280 or (888) 743-333 hearing impaired.

Charter Information

Client Information
Name of Client*
First Last
Phone*
Best number to contact about the trip request
Email*
Name of Contact (if different from client)
First Last
Trip Information
Date of Trip*
MM slash DD slash YYYY
Pick Up Time*

: Hours

Minutes

AM/PM
Return Time*

: Hours

Minutes

AM/PM
Total number of hours you need transportation?*
Choose the driver option that best fits your trip:
- Driver needs to stay with our group for the entire trip. (Trips with multiple stops)
- Driver can leave after we are dropped off and can come back for pick up. (One stop trips, cost savings option)
- I don't know the answer yet.
- I don't understand the question.
Pick Up Address*
Street Address Address Line 2 City State ZIP Code
Destination location?*
- Allen County
- Outside Allen County
Destination Address*
Street Address Address Line 2 City State ZIP Code
Total number of riders*
Number of riders using a wheelchair*
Notes/Comments/Questions
Billing Information
Billing Contact*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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 private group trip clients are responsible for damage to the interior or exterior of the vehicle caused by incidents such as vomiting or food spills. Cleaning fees will be assessed and charged according to the extent of the damage or mess. A cleaning fee of $200 will be billed to the client. Physical damage to the vehicle will be estimated by a third party and billed to the client.
Consent*
I agree to the privacy policy.
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CTN Rider's Guide

Personal or Business Group Trip Request

Client Information

Trip Information

Billing Information

Notices