Manassas Travel

 GOVERNMENT TRAVELER PROFILE
EPA

This page is being updated. Please print and fax to our reservation center at 1-703-361-2770 or call 703-361-2232 for more information.

Please fill out the information below and we will contact you regarding your travel plans.

Please complete the form below and either submit it online or fax it to (801) 281-3567.

TRAVELER INFORMATION

Last Name:

 First Name:

 Job Title:
Email Address:
Governmet Agency:

 Division/Department:
Address:
City:

 State:

 Zip Code:
Work Phone:

 Work Fax:
Travel Arrangers Name:
Work Phone:

 Work Fax:
Home Address:
City:

 State:

 Zip Code:
Home Phone:

TRAVELER PREFERENCES AND MEMBERSHIPS

PREFERRED AIRLINE(S) & FREQUENT FLYER NUMBERS:

1st Choice:

 Frequent Flyer #:
2nd Choice:

 Frequent Flyer #:
3rd Choice:

 Frequent Flyer #:

AIRLINE SEATING PREFERENCES:

Aisle Window

Front Back

Smoking Non-Smoking

SPECIAL MEALS:

Low-Calorie
Diabetic
Vegetarian
Fruit
Kosher
Low-Salt

PREFERRED HOTEL(S) & CD/ID NUMBER(S):

1st Choice:

 CD #:

 ID #:
2nd Choice:

 CD #:

 ID #:
3rd Choice:

 CD #:

 ID #:

HOTEL ROOM PREFERENCES:

Smoking Non-Smoking

King 2 Double Beds

PREFERRED RENTAL CAR COMPANY(S) & CD/ID NUMBERS:

1st Choice:

 CD #:

 ID #:
2nd Choice:

 CD #:

 ID #:
3rd Choice:

 CD #:

 ID #:

CAR PREFERENCES:

Compact Standard Mid-Size Luxury Van

Smoking Non-Smoking

SPECIAL REQUESTS:

 

***IMPORTANT***
If it doesn't say THANK YOU after you hit the SUBMIT button above, that means your form did not get submitted properly. In that case click the "BACK" button on your Internet browser and hit the SUBMIT button again.

If you are faxing this form, please send it to (801)-281-3567.

PLEASE NOTE: Manassas Travel will do all possible to meet your requests. If your preferences are not available we will give you the best available arrangements and request your preference. Travel agencies have no control over vendor availability.

Manassas Travel also provides full leisure travel services for your convenience Please advise your agent if you are booking personal travel so that we may fax you a personal Charge Card authorization form.

Home address and phone information is intended for emergency use only. In the event of a late schedule change the vendor or Manassas Travel will attempt to advise you.

Thank you for using Manassas Travel an Travel Services Representative.

© 2001 Manassas Travel