Bus Trip/Performances Proposal Form Thank you for coordinating a bus trip/performance special event. In order for the staff to plan and prepare for the event, please fill out the information below. Any contracts should be forwarded to the Finance Associate for signature and submission.Name of Event Date of Event MM slash DD slash YYYY Please enter limit # of attendees:Please enter a number from 1 to 200.Coordinator Name Email Home PhoneCell PhoneCoordinator Name Email Home PhoneCell Phone*The coordinator’s cell phone will be provided to the members and bus company (if bus is needed) for use on the day of the trip. Please check the appropriate boxes and fill out the information that applies. If the line does not apply, please leave it blank. As you type in the box, more lines will appear if you need them. Special classroom arrangementsIf the event requires a special location or special classroom setup, please detail it below. Include the number of seats if it is limited, the arrangement of seats, and number of tables required. If this is for an offsite location, please include contact information and any deadlines. If there are any special A/V needs, please list that also. Special ArrangementsBus Needed If a bus is needed for this event, please fill in the information below. If the pickup/drop off location is Fair Oaks Mall, Pole 1 across from the Marriott, just type in Fair Oaks Mall.Pickup Time : Hours Minutes AM PM AM/PM Drop off Time : Hours Minutes AM PM AM/PM Pickup/Drop off Location Bus Size needed: Passenger ?*N/A30 Passengers47 Passengers54-56 Passengers1st stop: Name & address 2nd stop: name & address 3rd stop: name & address Comments:Car Pool If this event involves a carpool, please fill in the information below.Meeting Time: : Hours Minutes AM PM AM/PM Name of meeting place Address of meeting place: Adress of destination: Directions & other information: AdmissionPayable to: Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Depost required? Yes No Amount:When due: MM slash DD slash YYYY Balance Due Date: MM slash DD slash YYYY Amount:Contract ? Yes No Special Requests or Other information: MealPlease enter limit # of attendees:Please enter a number from 1 to 200.Payable to: Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Deposit Required? Yes No Amount:When due: MM slash DD slash YYYY Contract? Yes No Balance Due Date: MM slash DD slash YYYY Amount:Special Requests or Other information:HotelName of Facility Check-in Date: MM slash DD slash YYYY Check-out Date: MM slash DD slash YYYY Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Deposit Required ? Yes No Amount:When due: MM slash DD slash YYYY Contract? Yes No Balance Due Date: MM slash DD slash YYYY Amount:Number of Rooms Reserved:Single RoomsDouble RoomsOr Make Their Own Reservations? Yes No Rooming List to be Provided? Yes No Billing Arangements: OtherResponsibilities for Development of OLLI Courses, Special Events, and Activities Courses, special events, trips and ongoing activities are developed by OLLI members. Generally, ideas are shared at meetings of the respective resource groups or program committees. Subsequently, one or more members follow up with planning and logistical preparations. OLLI members make the contacts for speakers, instructors, and individuals providing services related to a special event performance, tour, or trip. OLLI staff members play a supportive role for the work of the members: The Program Associate works closely with members to schedule the courses, special events, and activities in an efficient manner and to provide accurate information in the catalog and other OLLI publications. The Finance Associate responds to requests on any matter which requires payment or contractual arrangements. The Executive Director approves contracts that have been requested by the OLLI member(s) who are coordinating the course or event and authorizes any payments via check or credit (debit) card. The Administrator/Registrar adds meetings and events to the official OLLI calendar and assists in matters which need the services of George Mason support personnel. The Site Assistants provide for refreshments, materials and audio-visual equipment for members, instructors, and speakers at the three OLLI sites and some off-site locations. They are generally not involved with special event activities such as performances and trips that are not at an OLLI facility. Δ