Corporate Trip Request Form (CONFIDENTIAL) - Please fill out and hit "SUBMIT" at bottom of form

*Date Completed (MM/DD/YY)

*Is this a NEW booking?   Yes   No
Company Name
*First Name
*Last Name
Middle Name (as listed on ID)
Employee ID #
Telephone # (Business)    Telephone # (Home)
Telephone # (Mobile) *EMAIL Address
Person making request (not PSGR) Person making request (Phone)
Airline Seating Preference  Aisle   Window Other Seating Request   
Travel Dates (Departure)

 

Travel Dates (Return)

 

Departure City

Destination City
Special Meal Requests
Is non-refundable ticket acceptable?

 Yes   No

If not, please specify reason?
Request specific flights?

Request specific airlines?
(Corporate Travel Services is obligated to notify traveler of lowest fare available)
Hotel Needed

 Yes   No

Preferred Hotel
Car Rental Needed

 Yes   No  

Manager's Name
CREDIT CARD if other than on file  Please call office with CC # 918-254-1608
Other INFORMATION or COMMENTS
 Enter Email to receive a COPY and CHECK BOX       

* REQUIRED FIELD

AUTHORIZATION

By submitting this form I hereby authorize Spears Travel to charge to the credit card account(s) (through signature on file) as indicated on this form, any business travel transactions requested by the undersigned traveler or his authorized agent via telephone or letter while this is in effect. The individual traveler hereby authorizes Spears Travel to charge to his credit card account(s) (through signature on file) as indicated on this form, any personal travel transactions requested by him or his authorized agent via telephone or letter. 

CONTACT:  Brad Johnson - 918-254-1608