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Request Information
This form requires you to enter the alpha-numeric text embedded within the image at the bottom of this page. If you can not read the text within this image, please use your browser's refresh button to generate a new image until you can clearly read the text embedded within the image.
Requests should be made 10 business days in advance. Specific vehicles may not be available due to repair conditions.
Requestor:
*
Requestor Email:
*
Date/Time Information
Use Date:
*
Use Time (please use 24 Hour Clock - 13:00):
*
Return Date:
*
Return Time (please use 24 Hour Clock - 13:00):
*
Destination:
*
Additional Information
If vehicle is kept overnight, where will it be parked?
Will you need to buy fuel?
Who will drive the vehicle? (Must be Georgia Tech Faculty, Staff, or Student Employee)
*
Vehicle Requested
*
-- Vehicle
Ford Aerostar (7 Passenger)
Chevy Suburban (6 Passenger 4 Wheel Drive)
Chevy Pickup (6 Passenger - 1 Ton - 8 Foot Bed)
Ford Mini-Bus (13 Passenger)
Ford Van (high top - 8 Passenger)
Will you be towing a trailer?
Trailer Type
-- Trailer
GT Boat
GT Flat Trailer - 16x7 Foot
GT Enclosed Trailer (Must Have Permission from Dr. Work)
GT Rented Trailer (must have separate insurance)
Additional Equipment Needed (equipment dollies,load straps,ladders,etc..):
Enter Text From Image below (Case Sensitive)