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University Student Ride Request
Name:
Phone Number:
Email Address:
Choose a Pickup Location:
Select one...
On Campus Dorm (specify below in Address)
UO Dorm - Barnhart
UO Dorm - Riley
Bushnell University
UO Off Campus (Please add address below)
Bushnell Off Campus (Please add address below)
Address (if applicable):
Service Time:
Select one...
9:15am
11:15am
Comments:
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