Group Travel Request Form

Group Travel Request Form
Contact Information
Name

First NameMiddle NameLast Name
E-mail Address
example@example.com
Company Name
Preferred Phone Number(s)
Primary Number (with Area Code)
Extension (optional)
Business Number (with Area Code)
Extension (optional)
Address

Street Address

Address Line 2

City/TownState/Province/Region/Country

Postal / Zip CodeCountry
{address:addr_line1}
Group Information
Group Name
Group Type
Sports
Name of sport
Group Description
Adult Passenger Count
Minimum 10 Passengers Required for Group Reservations
Child Passenger Count
Children (2 – 11)
Child Passenger Count (Ages 5–18)
Trip Type
Departure City
Arrival City
Departure Date

MonthDayYear
Choose a date
Required Arrival Time
Return Date

MonthDayYear
Choose a date
Required Return Time
Multi-City Departure City 2
Multi-City Arrival City 2
Multi-City Departure Date 2

MonthDayYear
Choose a date
Multi-City Departure City 3
Multi-City Arrival City 3
Multi-City Departure Date 3

MonthDayYear
Choose a date
Are Date and Times Flexible?
Do you have names for your group departure?
Competitor Quote Received?
Competitor Fare Quote Amount
Requests/Comments
Please use the comment box to specify any planned stopovers or preferred routing.
Travel Agency Information (if applicable)
Agency Name
ARC/IATA Number
Agency Contact Full Name
Agency Contact E-mail Address
Agency Chain/Associated HOL
Agency Phone (with Area Code)
Extension / Pin (Optional)
Agency Fax (with Area Code)
Extension / Pin (Optional)
Agency Address

Street Address

Address Line 2

City/TownState/Province/Region/County

Zip Code/Postal CodeCountry
Should be Empty:

Group Travel Request Form

Contact Information

Preferred Phone Number(s)

Group Information

Travel Agency Information (if applicable)