University of Kansas Travel Agent Booking Form

Requester Name
Requester Email Address
Requester Phone Number Requester Phone Number - ### - ### ####
Is the travel federally funded?

Is the travel federally funded? Yes No
Trip Purpose

Trip Purpose Business Guest Companion/Spouse

For Vacation/Leisure travel, please contact Alan Martin at www.bookmeavacation.com for assistance.
Traveler Information

Provide full name as matches government ID.
First Name
Middle Name
Last Name

Enter last name to match ID for airport security
Email Address
Phone Number Phone Number - ### - ### ####
Does the traveler have an existing profile?

Does the traveler have an existing profile? Yes No
Date of Birth Date of Birth / MM / DD YYYY
Gender (Male or Female Only)

Male or Female only
Passport Number (recommended for international travel)
Passport Expiration Date Passport Expiration Date / MM / DD YYYY
Passport Country of Issue
Nationality
Known Traveler Number
Frequent Flyer Number(s)
Travel Request Details

Please select and provide details for travel arrangements needed.
Travel Services Needed

Travel Services Needed Air Roundtrip Air One Way/Multi-destination Hotel Car Limo/Car Service
Departure airport

Specific airport/city to fly from
Destination airport

Specific airport/city to fly into
Departure Date Departure Date / MM / DD YYYY
Departure Time Departure Time : HH MM AM/PM
Return Date Return Date / MM / DD YYYY
Return Time Return Time : HH MM AM/PM
Continuing flight departure airport
Continuing flight arrival airport
Continuing Flight Date Continuing Flight Date / MM / DD YYYY
Continuing Flight Time Continuing Flight Time : HH MM AM/PM
Return flight departure airport
Return flight arrival airport
Return Flight Date Return Flight Date / MM / DD YYYY
Return Flight Time Return Flight Time : HH MM AM/PM
Additional Flight Details
What is your check in date for your hotel stay? What is your check in date for your hotel stay? / MM / DD YYYY
What is your check out date for your hotel stay? What is your check out date for your hotel stay? / MM / DD YYYY
Preferred Hotel
Preferred Hotel Location

Near airport, address, city center, etc.
Car Rental Pick-Up Location
Car Rental Pick- up Date Car Rental Pick- up
Date / MM / DD YYYY
Car Rental Pick- up time Car Rental Pick- up time : HH MM AM/PM
Car Rental Drop-Off Location (if different from pick-up location)
Car Rental Return Date Car Rental Return Date / MM / DD YYYY
Car Rental Drop Off Time Car Rental Drop Off Time : HH MM AM/PM
What is your preferred car size?
What is your preferred car company?
Car Service Provider
Date Date / MM / DD YYYY
Pick-up Time Pick-up Time : HH MM AM/PM
Pick-Up Location
Drop-Off Location
Is there a return car service needed?

Is there a return car service needed? Yes No
Return Pick-Up Location
Return Drop-Off Location
Date Date / MM / DD YYYY
Pick-Up Time Pick-Up Time : HH MM AM/PM
Additional Notes: preferred carriers, hotels, etc.
Upload a File (e.g. schedules, itinerary, etc...)

University of Kansas Travel Agent Booking Form

University of Kansas Travel Agent Booking Form

Traveler Information

Travel Request Details