Van/Trailer Use Request

Name *

First Name

Last Name

Relationship to New Life Church *

New Life Church Ministry

New Life Church Member

New Life Church Ministry Partner

Phone *

(###)

###

####

Pick-up Date *

MM

DD

YYYY

Return Date *

MM

DD

YYYY

Requested Vehicle *

Van - 12 passenger

Van - 15 Passenger

Trailer

Name of Driver *

First Name

Last Name

Expiration Date of ODL *

MM

DD

YYYY

Name of Additional Driver

First Name

Last Name

Expiration Date of Additional Driver's ODL

MM

DD

YYYY