SARTANX-PRESSBUSROUTEAPPLICATION
Student’sName:
ParentName:
ParentPhoneContact:
ParentEmailContact:
SelectServiceOption(checkallthatapply):
NEABQ/NorthValley/WestsideRoute
[ ]RoundTrip–$900
[ ]AMOnly–$550
[ ]PMOnly–$550
Grade:
Pleasecircleyourstop:AlbertsonsMarket|RisenSavior|NorthValley(Paseo&2ndSt) |Cottonwood
Belen/LosLunas/Isleta/SEABQRoute
[ ]RoundTrip–$900
[ ]AMOnly–$550
[ ]PMOnly–$550
Pleasecircleyourstop:BelenWalmart|LosLunasWalmart|IsletaGasStation|JerryCline
PaymentOptions:
[ ]ChargemyFACTSaccount:$ (full)
[ ]ChargemonthlyviaFACTS:$
ChecksPayableTo:
St.PiusXSchool 5301St Joseph’sDriveNW Albuquerque,NM87120
Attention:WendyLucas
Email:wlucas@spxabq.org Phone:(505)831-8529