Reserve the SLBA 2014 Dodge Ram ProMaster Van Home > Resources > Reserve the SLBA 2014 Dodge Ram ProMaster Van The Salt Lake Baptist Association is pleased to make available to the churches of the Association this 2014 Dodge Ram ProMaster Van (seats 12 including driver). This resource is available only to SLBA churches. 1. Click here to check the van calendar to see if the dates you want are available. 2. Fill out the form below and submit. 3. You will be notified by email if/when your van request is approved. You may also call the SLBA office to check on your request. (801) 619-0574 NOTE: All drivers must have a valid U.S. driver’s license and meet the following criteria: *Have no major moving violations, alcohol or drug-related violations for the prior five (5) years. *Have no more than one (1) minor moving violation. *And have no more than one (1) at-fault accident for the prior three (3) years. Is this a new request? yes No If this is to cancel an existing reservation what is the date of the reservation you wish to cancel? What is the date or dates you wish to reserve the Van? Are you an SLBA Church or Ministry? Yes No Name of Contact Person Contact Person's Email Address Contact Person's Phone Number I understand that the Van use fee is $50.00 per day and that it must be returned washed, cleaned inside, and full of fuel. yes no Does your church have non-owned and hired auto liability insurance? Yes No In the event of an accident and the SLBA is required to pay the insurance deductible (up to $500), does your church/ministry or agree to reimburse the SLBA for the total deductible amount? yes, Our church or ministry agrees to pay $1,000 deductable in case of an accident. no, We do not agree to pay the deductable. Driver 1 Name Driver 1 is 25 years of age or over. yes no Has driver 1 had any violations or At Fault accidents in the last 3 – 5 years? Yes No Driver 2 name. Driver 2 is 25 years of age or over. yes no Has driver 2 had any violations or At Fault accidents in the last 3 – 5 years? Yes No Driver 3 name? Driver 3 is 25 years of age or over? yes no Has driver 3 had any violations or At Fault accidents in the last 3 – 5 years? Yes No Before returning the SLBA van, do you agree to (1) fill the tank and (2) clean the van inside and out? (If the van needs to be cleaned by SLBA staff, then we will bill your church/ministry a $50 cleaning fee. If the van only needs to be filled with gas we will pass those fuel charges on plus a $10 convenience fee.) YES we agree to clean and fill up the van. No, please bill us for fuel and cleaning charges. To whom should the bill be sent? What is the billing address? I understand that it is our obligation to contact the SLBA office about 1 week prior to picking up the van to make arrangements to pick up the key! Failure to do this may result in not being able to get the van when you need it. I agree to call the SLBA office to make arrangements to pick up a key to the van. Upon Completion of filling out this form you will be directed to an on-line giving page where you can pay for the Van use electronically. If you do not wish to pay online just click out of that page.