Travel Agency Form

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15/16 EXAMPLES

Text in this Example:

[Travel Agency Name]
Personal and Billing Information
Traveler Name
E-mail
Department
Phone
Fax
Delivery address
Billing address
Credit card number
Credit card expiration date
Travel Information
Destination
Departure date
Preferred departure time
(e.g., morning, mid-day, evening)
Return date
Preferred return time
Seating Preference
(e.g., aisle, window, center)
Meal Preference
Frequent flyer program name(s) and number(s)
Rental car program name(s) and number(s)
Rental car preference
(e.g., compact, mid-size, luxury)
Lodging Information
Hotel program name(s) and number(s)
Room preferences
(e.g., king, double, single)
Smoking preference
Travel Request Form Fax to:
[Travel agency fax number]