Vehicle Use Request
Longview Church of the Nazarene
*Starred items are required.
*Your Name:
*Email:
*Today's Date:
*Indicate what you are requesting to use:
Gray Van- Driver:
Phone:
Green/White Van- Driver:
Phone:
Shell Charge Card Yes/No:
Drivers of church vehicles must be cleared by our insurance policy. If you have not been cleared by our insurance you may not drive the vehicles. To get onto the insurance policy you must give a photocopy of your drivers license to the church office at least one week ahead of your event.
*Driver cleared by insurance Yes/No:
*Destination:
Approximate Mileage:
*Pickup Date:
*Pickup Time:
*Return Date:
*Return Time:
Requests for vehicles must be turned into the church office no less than three days prior to the scheduled pickup date. Keys may be picked up in the church office during normal office hours the day before the scheduled pickup date.
The driver will agree to show proof of a valid Washington State drivers license before picking up the vehicle.
Refueling Church Vans:
-Vans MUST be refueled at the end of each use.
-You may check out the Shell charge card from the church office.
-Return the receipt with the charge card to the church office.
Before clicking on the SEND Button, you may print this screen for your records.