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Travel Request Form

Please fill out the following form to the best of your ability.
We will research your travel needs and make every effort to be in
contact with you in two working days after receipt.
Thank you!

Parts of this Form

Your Contact Information:

Please provide the following contact information ( Red fields denote required information ):
Your name as listed on official picture identification:
First name: Last Name:
Home Area Code:
Phone Number:
Work Area Code:
Phone Number:
Fax Area Code:
Phone Number:
E-Mail Address:
Street Address:
City: State:
Country: Zip/Postal Code:


Members of Your Party:

Please describe yourself and the members of your party.
Age is optional, however please indicate if passenger is under 18 or over 62 years of age.
This will allow us to offer you the lowest available fare.

 

Name
Age
Primary
Traveller:
Last Name:
First Name:
14 and under
17 and under
18 to 61
62 and over
65 and over
Additional
Traveller
Data (same info, please):

Travel Details:

Airfare Request
Airport Transportation
(Shuttle Service)
Car Rental Request
Hotel Accommodations
Cruise Request
Vacation Request

Airfare Request

Departure City (with alternates):
Destination City (with alternates):
Departure Date and Time preferred: 
Return Date and Time preferred:

How flexible are these dates?

How flexible are these times?

Please use the space below to give any
additional comments regarding air travel.
Do you need:
Airport Transportation (shuttle service)
Car Rental
Hotel Accommodations

Airport Transportation (shuttle service)

Pickup address:
Phone number:
Nearest major
cross streets:
Drop off address:
Phone number:
Nearest major
cross streets:

Car Rental Request

Pick Up
Drop Off
Date:
Time:
Location:
What is your first choice of
rental car class (choose one):

What are your next choices of rental
car class (you may choose more than one):

Hotel Accommodations

Please list your preferences of locations, chains and room categories
(one or two beds, smoking or non-smoking, etc.).

Cruise Request

Please detail your preference of length of cruise,
destination, cruise line and cabin category.

Vacation Request

Please provide a general description of the travel
plans that you would like us to research for you.

Dates you would like to travel are very
important to get you an accurate quotation.

Please note: An in depth itinerary will not be created for your
travel plans until a phone contact has been made (at a minimum).
Travel details can be a time consuming venture and, while your
needs are important to us, out agents support a number of clients
and their time and resources cannot be frivolously spent.




This is the archived website for the former
Superior Travel of Orange County
16742 Gothard Street, Suite 210
Huntington Beach, CA  92647
(714) 843-6311 • (714) 841-8380 fax

This business has not been in operation since 1999.

Last modified: Wednesday, December 30, 2015 20:14
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