SA-Holiday Break Bus Sign Up Form

Student's Name: *This question is required.

Student's Local Address *This question is required.

Student's Email Address: *This question is required.

Parent's Name *This question is required.

Parent's Street Address *This question is required.

Parent's Apt/Suite/Office

Parent's City *This question is required.

Parent's State *This question is required.

Parent's Postal Code *This question is required.

Parent's Email Address *This question is required. This question requires a valid email address.

Parent's Phone Number *This question is required.

Which University do you attend? *This question is required.

On which bus would you like to reserve a seat? *This question is required.

1. Is your destination Round-Trip or One-Way? *This question is required.

What is your One-Way destination? *This question is required.

Ticket prices include tax:

Spring Break	Before 02/16	After 02/16
Boise \| Round - Trip	$100	$125
Boise \| One - Way	$60	$80
Idaho Falls \| Round - Trip	$120	$145
Idaho Falls \| One - Way	$70	$90
Portland \| Round - Trip	$100	$125
Portland \| One - Way	$60	$77.50
Tri-Cities \| Round - Trip	$65	$75
Tri-Cities \| One - Way	$40	$52.50
Seattle (Flat Rate)	$85	$100

Fall Break	Before 11/1	After 11/1
Boise \| Round - Trip	$100	$125
Boise \| One - Way	$60	$80
Idaho Falls \| Round - Trip	$120	$145
Idaho Falls \| One - Way	$70	$90
Portland \| Round - Trip	$100	$125
Portland \| One - Way	$60	$77.50
Tri-Cities \| Round - Trip	$65	$75
Tri-Cities \| One - Way	$40	$65
Spokane (Flat Rate)	$20	$40
Seattle (Flat Rate)	$85	$100

Winter Break	Before 11/15	After 11/15

Idaho Falls \| Round - Trip	$120	$145
Idaho Falls \| One - Way	$70	$90
Portland \| Round - Trip	$100	$125
Portland \| One - Way	$60	$77.50
Tri-Cities \| Round - Trip	$65	$75
Tri-Cities \| One - Way	$40	$52.50
Spokane (Flat Rate)	$20	$40
Seattle (Flat Rate)	$85	$100

***PLEASE NOTE: If ridership is low, the Seattle charter may be cancelled. You will be contacted in a timely manner so that you can arrange for alternate transportation. A full refund will be made.

How many tickets do you wish to purchase? *This question is required.Select 1 for one student, 2 for 2 students, etc.

Please include information for the additional ticket holder: *This question is required.

First Name
Last Name
Student\'s Email

Please include information for the third ticket holder: *This question is required.

First Name
Last Name
Student\'s Email

How do you wish to pay for the Holiday Break Bus? *This question is required.

Payment with check or cash must be made in person at:
Office of the Dean of Students
875 Perimeter Drive MS 2431
Moscow, ID 83844-2431

Make payments payable to the Dean of Students.