Please Print Instructions: Transportation Request Form must be Submitted 30 days in advance of request date.
Submitted By:		Date:
Ministry:		Chairperson:
Date of Trip:		No of Passengers:
Destination:		Depature Time:
Return Time:
Is this an overnight trip? Yes No If yes, how many days?
Return Date:		Return Time:
Please read policies and procedures before signing form and then return them along with this form to the Transportation Ministry Coordinator.
For Official Use Only:


Signature (Ministry Chair Person)	Date

Signature (Transportation Chair Person)	Date

Trip Approved: Yes No

Comments:
Distribute copies to: Transportation Center Ministry Chairperson Church Secretary

Mount Zion
United Methodist Church
134 S. White Horse Pike
Lawnside, New Jersey 08045
Phone: 856-546-6334
Fax: 856-546-6340