(503) 658-5646 cptrips@aol.com

Travel Request Form

*Required Information

*Traveler Name:
*Email:
*Phone:
Fax:
*Address:
*Destination:

*Departure Date:
Departure Time: (Preferred)
*Return Date:
Agent Name:
Seating Preference: (Aisle, Window, Center)
Meal Preference:
Frequent Flyer Program Name and Numbers:

Rental Car Program Name and Number:
Rental Car Preference: (Compact, Mid-size, Luxury)
Hotel Program Name and Number:
Room Preference:
Smoking/Non-Smoking Preference: