Travel Request Form

TRAVEL REQUEST FORM
BAJAN TREASURES INC.

Please fill out the following information that applies and press the SUBMIT button when complete.
You can also complete this form, print it out, sign it and FAX to 246-435-7950

Our reply will be prompt.
(Items marked * are required)

INFORMATION
* NAME:		* PHONE
* EMAIL
ADDRESS:		FAX
Reason for trip:	Other:	No of Guests
Please Fax confirmed itinerary to me (Be sure to leave a fax number)
Other travelers on the same trip:

AIR TRAVEL
Travel Date	From	To

FLIGHT DETAILS
If arranging your own flight, please do give us your flight details: Please let us know if you need assistance with booking your flights or arranging airport pick up and transportation to the Hotel of your choice.

Date

Time

Flight / Carrier

Flight Number

Arrival

Departure

HOTEL
Type of Accommodation Other type of accommodation:
Closest in proximity to destination or preferred hotel
Hotel Name:		Hotel Address:
Hotel Phone:		Number of nights:
PREFERENCES:	Smoking Non-Smoking	Double Queen King
	PC compatible phone jack	Fax Facilities

CAR RENTAL
Car Required?	Yes No	Type/Size of Car:	Full Mid Compact
Pick-Up Location:		Drop-Off Location:
Special Requirements:

Type of Card:

Card Number:

Name of Cardholder:

Expiry Date:

Authorization:
(fax signature to 246-435-7950 if required)

Bill to Account/Customer:

Comments

You can also complete this form, print it out, sign it and FAX to 246-435-7950