Manassas Travel

 PERSONAL VACATION
TRAVEL REQUEST
Manassas, VA Office

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 about your travel plans.

You can either fill this form here online or you can print it out and fax it back to (703) 361-2770 along with a credit card authorization form .

NOTE: A $15 non-refundable fee will apply for personal traveler reservations.

ITINERARY:

New Itinerary Change My Itinerary Cancel My Itinerary

PERSONAL INFORMATION

Last Name:

 First Name:

 Email Address:
Home Phone:

 Home Fax:
Home Address:
City:

 State:

 Zip Code:

NUMBER OF TRAVELERS
Traveler #1 Full Name:

 Age:

 Traveler #2 Full Name:

 Age:
Traveler #3 Full Name:

 Age:

 Traveler #4 Full Name:

 Age:

AIR TRAVELER REQUEST

AIR TRAVELER DESTINATIONS

Departure City #1:

 Arrival City #1:

 Flight Date:

 Flight Time:
Departure City #2:

 Arrival City #2:

 Flight Date:

 Flight Time:
Departure City #3:

 Arrival City #3:

 Flight Date:

 Flight Time:
Departure City #4:

 Arrival City #4:

 Flight Date:

 Flight Time:

PREFERRED AIRLINE(S) & FREQUENT FLYER NUMBERS:

1st Choice:

 Frequent Flyer #:
2nd Choice:

 Frequent Flyer #:
3rd Choice:

 Frequent Flyer #:

AIRLINE SEATING PREFERENCES:
Please note that all U.S. Domestic Flight are non-smoking. If you are traveling internationally you do have a choice.

Smoking Non-Smoking                      Aisle Window

SPECIAL MEAL REQUESTS:



AIRPLANE SPECIAL REQUIREMENTS:




CAR TRAVELER PREFERENCES:

DATES AND LOCATIONS CAR RENTAL(S) ARE REQUIRED:

Pick up Location:

 Date:

 Drop Off Location:

 Date:
Pick up Location:

 Date:

 Drop Off Location:

 Date:

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

1st Choice:

 CD #:

 ID #:
2nd Choice:

 CD #:

 ID #:
3rd Choice:

 CD #:

 ID #:

CAR SIZE/TYPE:

Economy Compact Mid-Size Full-Size Van

Smoking Non-Smoking

RENTAL CAR SPECIAL REQUIREMENTS:




HOTEL TRAVELER PREFERENCES:

DATES AND LOCATIONS HOTEL ROOMS ARE REQUIRED:

Location Hotel Room is Needed:

 Date(s) Hotel Room is Needed:
Location Hotel Room is Needed:

 Date(s) Hotel Room is Needed:
Location Hotel Room is Needed:

 Date(s) Hotel Room is Needed:
Location Hotel Room is Needed:

 Date(s) Hotel Room is Needed:

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

1st Choice:

 CD #:

 ID #:
2nd Choice:

 CD #:

 ID #:
3rd Choice:

 CD #:

 ID #:

HOTEL ROOM TYPE:

Smoking Non-Smoking                      King Queen 2 Double Beds

Do you need a Handicapped Equipped Room? Yes No

HOTEL SPECIAL REQUIREMENTS:




TRAIN TRAVELER PREFERENCES:
All Train travel arrangements will be made with Amtrack

DATES AND LOCATIONS OF DESIRED TRAIN TRIP(S):

Departure City #1:

 Arrival City #1:

 Date:

 Time:
Departure City #2:

 Arrival City #2:

 Date:

 Time:

TRAIN SPECIAL REQUIREMENTS:




CRUISE TRAVELER PREFERENCES:

DATES AND LOCATIONS OF DESIRED CRUISE(S):

Departure City #1:

 Arrival City #1:

 Start Date:

 End Date:
Departure City #2:

 Arrival City #2:

 Start Date:

 End Date:
Departure City #3:

 Arrival City #3:

 Start Date:

 End Date:

PREFERRED CRUISE LINES:

1st Choice:

 2nd Choice:
3rd Choice:

 4th Choice:

CRUISE SPECIAL REQUIREMENTS:




INTERNATIONAL TRAVEL INFORMATION:

PASSPORT INFORMATION:

Name on Passport:

 Nationality:
Place of Birth:

 Date of Birth:
Passport #:

 Place Issued:
Date Issued:

 Expiration Date:


VISA Information:
Country:

 Date Issued:
Expiration Date:

ANY OTHER SPECIAL REQUESTS:



NOTE: A $15 non-refundable fee will apply for personal traveler reservations.

 

***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 (703) 361-2770.

In order for us to serve you better, please fill out the credit card authorization form, you can click here to fill out the form.

Please state your name on this profile as have it listed with the airlines, car rental companies and hotels to ensure that you are properly credited any benefits associated with frequent traveler memberships. Please be as detailed as you can on this profile form and return the original to Manassas Travel as soon as possible, as it is necessary to have an up to date profile in our computer reservation systems should you need to access our 24-hour Emergency Hotline Service, and so that we can properly service your individual travel needs. This profile can be updated any time you feel necessary.

© 2001 Manassas Travel