RESERVATIONS
Dial-a-Ride Reservations
Bus Reservations
Dial-a-Ride Reservation Form
Please use a separate reservation form for each date you need a reservation. If you need to make multiple stops on the same day, please call our Dispatcher at 503-815-TCTD (8283) to make your reservation(s).
Your Name:
*
Your Street Address:
*
Your City, State, Zip:
*
Your Telephone:
*
Your E-mail Address:
Date you need ride (xx/xx/xx):
*
Address of pick-up location:
*
Address of drop-off location:
*
Drop-off time (xx:xx AM/PM):
*
Return trip pick-up time (xx:xx AM/PM):
*
Address of return trip pick-up location:
*
Address of return trip drop-off location:
*
Will a personal care attendant or service animal be traveling with you?
Personal Care Attendant
Service Animal
Do you use a wheelchair, other mobility device or need special assistance?
Specify type of device
I use a wheelchair
I use another mobility device
Comments/Questions (include type of special assistance needed here):
Bus Reservation Form
Your Name:
*
Your Telephone:
*
Your E-mail Address:
Date you need ride (xx/xx/xx):
*
Time you need ride (xx:xx AM/PM):
*
Address of pick-up location:
*
Address of drop-off location:
*
Date of return trip (xx/xx/xx):
*
Return trip pick-up time (xx:xx AM/PM):
*
Do you use a wheelchair?
I use a wheelchair
Comments/Questions (include any additional information you want us to know or type of special assistance needed here):
Post Office Box 188
Tillamook, OR 97141
503-815-TCTD (8283)
info@tillamookbus.com