LAWRENCE UNIVERSITY
VEHICLE RESERVATION FORM

PLEASE FILL OUT THE FORM BELOW. AFTER ALL THE REQUIRED INFORMATION HAS BEEN TYPED IN, PRINT THIS FORM AND RETURN IT TO THE PHYSICAL PLANT OFFICE.

Contact Person:  Contact Person Phone:
Account Number: Number of Passengers: 
AcademicAthletic Other  Approximate Miles: 
Purpose of Trip:  Destination: 
Date Leaving:  Time:  Date of Return:  Time: 

Authorizing Signature:

LU Authorized Driver Signature:

Leaving Odometer Reading: Returning Odometer Reading:


Note: Please read the Lawrence University Vehicle Use Policy carefully before proceeding with a vehicle reservation.