INSTRUCTIONS FOR FILLING OUT NOTIFICATION OF EVENT/GROUP TRAVEL

Please type the form using the numbers listed below.

Section 1

1.    Type your Affiliate name - DO NOT use abbreviations.

2.    Type your name, address, and telephone number.

Section 2

3.    Check the type of function.

4.    Type club name and address.

(Fill in Items 5 & 6 below only if it is an exhibition or club dance)

5.    Type date of function - calendar date.

6.    Type facility information - same as you would use on the Request for a Certificate.

Section 3

7.    Type calendar date for the trip.

8.    Type time the bus is leaving.

9.    Type the city and state the bus is leaving from.

10.Type the city and state the bus is going to.

11.Type the number of one-way miles the bus will be traveling. If it is going to more than one destination, then provide the miles to the last destination.

12.Type the name of the bus line and the phone number as shown on the contract.

Submit by email with form attached. Print one copy for your records.

August 2008