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Student Group Request

School Name(Required):
Address:
Address (Cont):
City:
State:
Zip:
School Phone:
Fax:
WebSite:
Contact Name(Required):
Contact Title:
Contact Phone:
Contact Fax:
Best Time to Call: Morning Afternoon Evening
EMail:
Type of Group:
Destination:
Number of Students:
Number of Adults:
Departure Date:
Return Date:
Itinerary: Please outline a brief itinerary including cities to visit, number of nights in each city, attractions you want to see, and meals you would like to include.
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The Beach Bus | Toll-Free Phone: 877-500-1655 | Local Phone: 252-255-0550 | Fax: 252-473-3900 | E-mail: mail@beachbusobx.com

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