Herrera School Buses,

Inc.- vendor#40464
10,605 Central Ave NW Albuquerque, NM 87121 Phone: (505) 242-1108 Fax: (505)242-1125

School Bus Contract Form

Review, Sign, with PO# or Payment and Return at Least 1 Week Prior to Trip.

Prepared By: Jolene Herrera/meikomustang@yahoo.com

Herrera School Buses,

Inc.- vendor#40464
10,605 Central Ave NW Albuquerque, NM 87121 Phone: (505) 242-1108 Fax: (505)242-1125

School Bus Contract Form

Review, Sign, with PO# or Payment and Return at Least 1 Week Prior to Trip.
Eldorado HS

School Name:

Teachers Name: Zade

(Riding the Bus)

Contact Person:
Email:

Telephone#: 330-979-8108

Zade

znahhas@unm.edu

Bookkeepers
Email Address:
(For Contracts/Invoices/Credit Card Receipts)

Address:
Billing Address (If different from above):

Order Date:

Friday April 29,2016

Eldorado HS

Pick Up Bus
Loading Zone:
Spot Time:
TIME:

Destination:

5:00pm
10:30pm
Popejoy

Number of School Buses Requested:

Cost per bus: $221.67

**Bus may not stay with group** - DROP AND PU ONLY

Total $221.67
***WE WILL NOT SEND A BUS WITHOUT A PURCHASE ORDER NUMBER***
PO#
CC#
Exp
or R#
Billing Address for CC#________________________________________________3-Digit code on back of card:__________

Please Provide Payment prior to trip, or Purchase Order Form / Requisition Form.
If paying by check or money order, please include date of trip & group name.

By signing below you agree to terms:

* Note*: Trip will be CANCELLED unless we receive this Contract Signed with a Purchase Order
Form or Full Payment NO LATER than 1 WEEK PRIOR to trip.
Confirmation Signature:

Date:

Print Name: ____________________________________

**CANCEL: Once the contract is signed you must call to CANCEL or you will be charged a show up fee
when bus shows up. Please Cancel 48 hours prior to trip. Thank you.
IF ANY CHANGES OCCUR DURING THE TRIP WITHOUT PRIOR APPROVAL, THE CONTRACT PRICE WILL
BE ADJUSTED POST TRIP.

Prepared By: Jolene Herrera/meikomustang@yahoo.com