Non-Profit Group Trips - Community Transportation Network

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

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

Charter Information

Non-Profit Group Trip Request

Client Information
Company/Organization/Group Name
Primary Contact*
First Last
Email*
Organization's Address
Street Address Address Line 2 City State ZIP Code
Trip Information
Trip Name
Trip Date*
MM slash DD slash YYYY
Total number of hours you need transportation?*
Choose the driver option that best fits your trip (Please note, CTN reserves the right to require a driver remains with your group based on your final schedule):
- 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. (Not valid for trips with multiple stops, trips outside Allen County, or for trips less than 3.5 hours)
- I don't know the answer yet.
- I don't understand the question.
Pick Up Time*

: Hours

Minutes

AM/PM
Trip Start Time*

: Hours

Minutes

AM/PM

Could be the same as your pick up time.
Trip End Time*

: Hours

Minutes

AM/PM
Trip location?*
- Allen County
- Outside of Allen County
Trip Destination*
Street Address Address Line 2 City State ZIP Code
Total Number of Riders
Number of riders using a wheelchair
Number of school age children
Number of preschoolers
Are there any special instruction for your trip?
Billing Information
Billing Contact*
First Last
Billing Address*
Street Address Address Line 2 City State ZIP 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 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.
CAPTCHA

Non-Profit Group Trip Request

Client Information

Trip Information

Billing Information

Notices