Charter Services Request

Please read the before instructions here before completing the form.

Date of Event

submit multiple forms for additional dates

Department Requesting Service

Contact Person

Rice Office Contact Phone and Cellphone

Rice Contact Email

Charge to Org

NOTE: If you are unsure of the appropriate codes, please check with your department head. Proper codes are required. Incorrect codes will delay your request.

Charge to Fund Type

NOTE: If you are unsure of the appropriate codes, please check with your department head. Proper codes are required. Incorrect codes will delay your request.

Charge to Fund Source

Charge to Account

This is a four digit number

Charge to Classification

Charge to Program

Approved by

COA

Pickup Time

Pickup Location Address

Drop Off Address

If airport, specify Flight Name/Number and heavy luggage

Number of passengers

Return Pickup Time

If needed

Return Drop Off Address

If airport, specify Flight Name/Number and heavy luggage

Notes

Please be brief

Helpful Links

6100 Main St., Houston, TX 77005-1827|

Mailing Address: P.O. Box 1892, Houston, TX 77251-1892 |

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