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Van Reservation
Your name
*
Last name
Email address
*
Phone number
*
Phone type
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Please list the date(s) you wish to reserve the van. Also list approximate time of pick up and drop off.
*
Only Corinth Program Leaders can reserve the van. Please note that this is a REQUEST form and you will be contacted by the church secretary once van is verified to be available on your requested date(s).
By checking this box I am confirming that I am on the approved driver list, will leave the van clean, and with the gas level where it was upon pick up.
*
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