Charter Coach Request

Thank you for considering Northfield Lines as your transportation partner for your upcoming event. Filling out this short form will give us an idea of what you need prior to our confirmation agreement. A representative will be in contact with you shortly to confirm the arrangements.

First Name *

Last Name *

Company/Group Name *

Phone *

Email Address *

Address 1 *

Address 2

City *

State *

Zip Code *

Country *

Group Type *

Number of Travelers *

Departure Date *

Departure Time *

Please indicate AM or PM

Return Date *

Return Time *

Please indicate AM or PM

Number of Days *

Transportation needed *
57-Passenger
56-Passenger
49-Passenger
47-Passenger
31-Passenger
29-Passenger
24-Passenger
20-Passenger
18-Passenger
18-Passenger Wheelchair
School Bus
Please fill it out to the best of your ability. This can be changed upon order confirmation with your representative.

Departure Points *

Destination Points *

Questions?

Send Me A Brochure! *
Yes
No

How were you referred to us? *
Friends / Family
Google
Used Northfield Lines on other trips
Yellowbook / Yellowbook.com
Newspaper
Vehicles
OneWed.com
MyWedding.com
Twin Cities Bridal
Other

If "other" please specify.

Secret Code

In the box below, enter the Secret Code exactly as it appears above *