Middlebury Transit / Vt. Chauffeured Transportation
 Reservation Request Form
(This form may be used for reservations on either
 Middlebury Transit or Vermont Chauffeured Transportation)

Please fill this form out completely, then click the Submit Button

Name *required   Cell Phone number *required 

No. of Guests *required    Travel Day/Date *required 

         Pickup Time (don't forget to include AM or PM!) *required 

Pickup Location    Drop Off Location *required  

Airline/Amtrak      Flight or Train Number

Flight Departure Time if applicable

Departure Address: (*required) Please include DIRECTIONS TO DEPARTURE ADDRESS.

  Email  *required 

Returning with Middlebury Transit?
Please complete the following:

                  Return Day/Date    Return Pick-Up Time (Include AM or PM!)                

Return Pick-Up Location      Return Drop-Off Location

 Return Airline/Amtrak       Return Flight or Train Number

Return Flight Departure Time

A Credit Cart is required to hold your reservation.  We accept Visa, Master Card, and American Express.  Please note our TERMS AND CONDITIONS section of our web site for our cancellation policy.

Card Type:    Visa        Master Card      American Express

Card Number                 Expiration Date

3-digit Number on back of VISA and MC or
4 digit on front of AMEX  What's This?

If you prefer to phone in your Card Number, call (800) 388-1002

Thank You for choosing Middlebury Transit / Vt. Chauffeured Transportation as your Travel Partner!