Manassas Travel


 TRAVEL REQUEST
State of Texas

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.

You can either fill this form here online or you can print it out and fax it back to (435) 940-1955 or (801) 281-3567 along with a credit card authorization form.

THIS IS JUST A REQUEST ONLY, NOT A BOOKING ENGINE.

ITINERARY:

New Itinerary Change My Itinerary Cancel My Itinerary

PERSONAL INFORMATION

Which Location are you from?

Last Name:

First Name:

Email Address:

Company Name:

TA #:

Department #:

Task Order #:

Office Phone:

Office Fax:

Office Address:

City:

State:

Zip Code:


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:


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:


CAR SIZE/TYPE:

Economy Compact Mid-Size Full-Size Van

Smoking Non-Smoking

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:


HOTEL ROOM TYPE:

Smoking Non-Smoking                      King Queen 2 Double Beds

Do you need a Handicapped Equipped Room? Yes No

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:



ANY OTHER 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 (435) 940-1955 or (801) 281-3567.

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

Please state your name on this profile as it is 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