SARTAN X-PRESS BUS ROUTE APPLICATION Student’s Name: ___________________________ Grade: _______ Parent Name: _______________________________________________ Parent Phone Contact: ________________________________________ Parent Email Contact: ________________________________________ Select Service Option (check all that apply): NE ABQ / North Valley / Westside Route [ ] Round Trip – $900 [ ] AM Only – $550 [ ] PM Only – $550 Please circle your stop: Albertsons Market | Risen Savior | North Valley (Paseo & 2nd St) |Cottonwood Belen / Los Lunas / Isleta / SE ABQ Route [ ] Round Trip – $900 [ ] AM Only – $550 [ ] PM Only – $550 Please circle your stop: Belen Walmart | Los Lunas Walmart | Isleta Gas Station | Jerry Cline Payment Options: [ ] Charge my FACTS account: $______________ (full) [ ] Charge monthly via FACTS: $______________ Checks Payable To: St. Pius X School 5301 St. Joseph’s Drive NW Albuquerque, NM 87120 Attention: Wendy Lucas Email: wlucas@spxabq.org Phone: (505) 831-8529