Coach America - RAZ Transportation / Coach America Portland

Portland Charter Services

For Reservations, Call:
888-684-3322


	About Us		Charter Services		Contract Services		Group Tours

If you have any problems filling out this form or would rather speak to one of our experienced agents, please call us at: 888-684-3322
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CONTACT INFORMATION
* Your First Name:		* Your Last Name:
If the customer is someone other than yourself, please enter their name below.
Group/Organization Name:
* Phone Number:		Fax Number:
* Email Address:		* Confirm Email:
* Your Zip Code:
Have you chartered a bus / motorcoach with us before?		Yes No
How many trips do you take per year?		1-5 6-10 11-20 21+

CHARTER INFORMATION
Number of Passengers:		Type of Group:
If "Other" please explain:
What type of trip will this be? More Info	One Way Round Trip Two One Ways Other

Departure Pickup Date:	Date: Click here to view a calendar
	Time:
Return Pickup Date:	Date: Click here to view a calendar
	Time:

Pickup Location: (if multiple pick ups, please detail in itinerary below)
Address / Venue:		City:
State:		Zip:
Destination Location:
Address / Venue:		City:
State:		Zip:
Please provide us with any important details of your itinerary:


ADDITIONAL INFORMATION
What is the status of your trip? Exploring taking a trip Comparison shopping Prefer Coach America
Are you flexible on your times or dates? Times Date Neither
TIP: Being flexible may save you money!Click here for more info
Wheelchair Accessibility: Needed Not Needed

MARKETING INFORMATION

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RAZ Transportation / Coach America Portland
11655 SW Pacific Highway | Portland, Oregon 97223 | tel: 888-684-3322 | tel: 503-684-3322