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Request to Use Church Vehicle
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* Indicates required question
Today's Date
*
Enter Date in this format 12/25/2011
MM
/
DD
/
YYYY
Ministry Making Request
*
Your answer
Applicant's Name
*
Your answer
Which Vehicle
*
Car
Required
Ministerial Overseer
*
Choose
Option 1
Pastor Chinedu Emmanuel
Pastor Dorothy Emmanuel
Pastor Victor Anjorin
Pastor Kemi Anjorin
Pastor Chuks Ezeanya
Pastor Uche Ezeanya
Administration
Applicant's Email
*
Your answer
Applicant's Phone
*
Enter Phone in this format XXX-XXX-XXXX
Your answer
Date of Requested Use
*
Enter Date in this format 12/25/2011
MM
/
DD
/
YYYY
Primary Driver
*
Your answer
Backup Driver
*
Enter N/A if none
Your answer
Are Drivers over 25
*
Yes
No
Primary
Backup
Yes
No
Primary
Backup
Date of Pickup
*
Enter Date in this format 12/25/2011
MM
/
DD
/
YYYY
Time Out
*
Select the time you will be needing the vehicle
Time
:
AM
PM
Date of Return
*
Enter Date in this format 12/25/2011
MM
/
DD
/
YYYY
Time In
*
Select the time you will be returning the vehicle
Time
:
AM
PM
Brief Description of Activities
*
Your answer
Special Comments/Requests
Your answer
Submit
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