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Charter Request Form
Section 1: Applicant Information
Organization Name
Organization Address
Municipality
Fort Erie
Grimsby
Lincoln
Niagara Falls
Niagara-on-the-Lake
Pelham
Port Colborne
St. Catharines
Thorold
Wainfleet
Welland
West Lincoln
Postal Code
Contact Name
Position
Phone Number (Daytime)
Phone Number (Evening)
Email Address
Website
Type of Organization
Not For Profit
Charitable Organization
Other
If Other, please specify
Incorporation Number (If applicable)
Registration Number (If applicable)
Section 2: Event Information
Name of Event
Number of Passengers
Date of Charter
Boarding Time
Boarding Location
Drop Off Location
Return Trip?
Yes
No
Section 3: This section will be filled out by Operations
Rental Cost
Tax
Total
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