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Charter a Coach
     If you have a confirmed charter with Anderson Coach & Travel, you may use this form to submit your final itinerary to our charter department.
 
Submit Itinerary

* - Required Field
*    Departure Date  
*    Charter Number  
   
*    First Name:
*    Last Name:
*    Group Name:
   
*   Departure Location
(name of building/location where group meets/departs)
*   Address 1  
Address 2  
*   City  
*   State  
*     Zip  
 
* Directions from nearest main highway:
*   Departure Time
(coach arrives 15 minutes prior to departure time)
*   Farthest Destination (City & State):
*   Places you will be visiting in that city:
*   Addresses of places you will be visiting in that city:

Please fill in the date and daily activities expected from our operator on the calendar below: (Include meal and sightseeing stops. Reservations are your responsibility).
   

 
Date
 		Time (am/pm)
Activities
*   Day 1
* 

* 

* 

  Day 2 

  Day 3 

  Day 4 

  Day 5 

  Day 6 

  Day 7 

 
*   Time you will start home from your destination:  
*   Time you expect to arrive back at your home location:  
   
* Do you plan to have alcoholic beverages on the coach? 
Type of Group:

If Other, please specify:
Number of Students:
Number of Adults:
*   Number of Passengers?  
   
Name of Requested Coach Operator(s):
 
   
*   Group Leader:  
*     Daytime Phone:  
Evening Phone:  
*      E-mail:  
   
Will Group Leader be on Trip?
 
If no, please provide information for person in charge below
Name:  
Telephone:  
FAX:  
Special needs / concerns:

  
Hotel Information
Room reservations and costs are the customers responsibility unless otherwise arranged.
Room is held for driver?         
Hotel #1     Hotel #2    
Date: Date:  
Name: Name:
Address: Address:
City:     City:    
State:     State:    
Zip:     Zip:    
 Phone:    Phone:  
                 




1-800-345-3435
One Anderson Plaza | Greenville, PA 16125
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