Travel Reservation Request Form

Thank you for using our Air Reservations. If you have any questions regarding air transportation prior to completing this form, please dial 1-800-270-1540 and ask for the CCR rate. This form must be completed and returned before tickets will be issued to ensure that all information such as, frequent flyer numbers, credit card numbers, travel dates and name spellings are recorded correctly. You must provide us with your name, as it appears on the documentation you plan to present at the airport.  It is strongly recommended that you submit your request as soon as you know your dates of travel.  Press the "Submit" button at the bottom of this form upon completion.

Once we receive your request a reservation is made, an itinerary and pricing sent to you via email for approval. Please approve or provide a change request immediately to avoid the loss of space. All tickets will be issued in accordance with applicable fare class rules. Once issued, tickets are subject to applicable cancellation and change penalties. No charges will be made to your credit card without written authorization approving the itinerary and pricing that has been submitted to you.

Hertz Rental Car wholesale rates, comparable in savings to our Preferential air rates, are also available to you.  To request these Hertz rates and to make reservations:  Dial 800-654-2240 and refer to CV Code #011E0005.

Today's Date
Traveler's Legal Name (as appears on documentation)
Company Name
Address
City/State/Zip
Business Phone
Home Phone
Fax
Email

Departure Information:

Returning Information:

From Pref. Airport       To Pref. Airport  
Date Date
Departure Time Departure Time

Bed Type

Smoking Preference

Preferred Airlines
(in order of preference) 

Frequent Flyer Info.

Additional Questions & Comments:

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