Online – Special Event Request Form Online form submission temporarily unavailable, please check back later! NOTA Special Event Trip Request Form Special Event Trip Agreement: Special Event Trips are not part of NOTA’s normal route system. They are event trips for a group which will “rent” the use of a NOTA vehicle for their own use. These trips are requested via dispatch with as much notice as possible. Special Event trips are posted for our drivers to voluntarily sign up for to earn extra money and there is no guarantee of a driver’s availability which is why advance notice is needed. All special event trips must stay within the metro Detroit area (Oakland, Macomb, Wayne, Livingston and Washtenaw Counties) but they can go outside of our normal service areas. You are responsible to instruct the driver where you would like them to be during the event. Please be as specific as possible (for example, where to park or if you are purchasing a ticket for driver to join event). The driver and the party will exchange phone numbers so that communication can be made during the event time. The cost of the special event trips is shown below and will be billed after the trip is completed based on how many hours and miles the trip incurred. Payment is expected within 30 days made payable to NOTA. Cost of Special Event Trips: $27/hr for the driver’s salary per each vehicle (OT rate plus taxes) Mileage: $1.08 per mile Bus Rental Fee: $50 (waived if you are a community event) Please fill in the detailed information concerning the trip below. If there are any changes, notify dispatch (248) 693-7100 ASAP. Trips can be cancelled up to the day of the event without penalty. However, if you cancel a scheduled trip on the same day, you will still be responsible for a $50 cancellation fee. All of the rider guidelines still apply to special event trips. Please see our guidelines on our website: www.ridenota.org. If you agree to the terms and conditions above, please fill in the information below and submit the form. If there is something wrong with the form for any reason, please email: djurik@rideNOTA.org By hitting submit, you agree to the terms and conditions above and wish to reserve a special event trip with NOTA: Signature Date MM slash DD slash YYYY Todays Date MM slash DD slash YYYY Date of Trip Request MM slash DD slash YYYY Billing Contact Person Billing Address 1 Billing Address 2 Departure Time Hours : Minutes AM PM AM/PM Return time Hours : Minutes AM PM AM/PM Location 1 Location 1 PICK UP or DROP OFF TIME Hours : Minutes AM PM AM/PM Location 1 DescriptionLocation 2 Location 2 PICK UP or DROP OFF TIME Hours : Minutes AM PM AM/PM Location 2 DescriptionLocation 3 Location 3 PICK UP or DROP OFF TIME Location 3 Description Location 4 Location 4 PICK UP or DROP OFF TIME Location 4 Description Number of Vehicles RequestedNumber of total passengersNumber of wheelchairs included in totalDriver Name Driver Phone NumberEvent Contact Name Phone NumberSpecial Instructions 1Special Instructions 2