Travel Arrangements Form

  Name:                                         Date:                          

  Reason for Travel:                                                                                                  

  Destination(s):                                                                                                       

  Need to Arrive at Destination By:     Date:        Time:           am/          pm   
                                                                         
  Need to Return By:     Date:            Time:            am/            pm
 
  Airline Preferred:                                   

  Seating Preferred:(eg. window/aisle)                                   

  Car Needed:    þ Yes     þ No      Number of Days Needed:                         

  Hotel Needed:  þ Yes     þ No

  If Hotel is needed, # of nights at which location (if employee will be going to several areas):

  # of Nights          at                                                                                                 

  Signature of Supervisor of Vice-President:                                                                  

        (Do not write below the line - for travel coordinator use only)



  Travel Agency:                                Phone:                                           

  Contact:                                        

  Departure                               Return

  Date:                                   Date:                                 
  
  Times: Departure:                   Arrival:Times: Departure:                  Arrival:                

  Airline:                                Airline:                                   

  Flight #:                               Flight #:                            

  Comments:                                                                                                                                        
                                                                                                                                                        

  Cost:                    Penalties (if any):                                                                            
 
  Need to Ticket by: