Travel Request Form

DISCOVERY Cognitive Examiners Training Workshop
The following information is required for reservations.
Email marie@ggatravel.com or call  617.720.6100 to speak to a travel advisor M-F 10am-5pm ET
TRAVELER INFORMATION
Traveler Legal Name *

Last Name First Middle
Traveler Mobile Phone Number *
Area and phone number
Business Email*
example@example.com
Birth Date*

Month Day Year
Gender (as it appears on your Passport or Government Issued ID)*
Gender must match Government ID
TSA Pre✔ Known Traveler Number (KTN) GOES
Redress Control Number (redress number)
Accessibility, special needs requirements, air and hotel preferences, and requests?
*Please list any special needs requests or preferences
Please choose 1 of the following events*

Workshop Administrator (3 nights) 2-5 October 2022Tier 1Cognititve Examiners Workshop (2 nights) 2-4 October 2022Tier 2/3 Cognitive Examiners Workshop (1 night) 4-5 October 2022
FLIGHT REQUEST
Already know your flight(s) preference- use the box below. Airline, Flight #, Date To/From city Time
Departure City
Arrival City
Departure Date

MonthDay Year
Return date

MonthDay Year
FREQUENT FLYER INFORMATION
Airline and account number
*If you have a frequent flyer account, please list here.
Airline and account number
*If you have a frequent flyer account, please list here.
Seating Preference, based on availability

Aisle SeatWindow Seat
Other Flight Requests
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*Please indicate any other travel needs, details, health concerns or special requests for this trip.
During the process of providing travel services, Great GetAways may collect, store, and transmit your personally identifiable information such as name, address, contact information, preferences, demographic information, as well as any hotel or travel requests you provide us. This information is necessary for the facilitation of travel reservations and other services for you. This information may be shared with other 3rd parties, such as event organizers, planners, affiliated organizations, and travel and lodging providers. Should you wish to manage the information entrusted to Great Getaways, you can do so at  mgbtravel@ggatravel.com. By submitting this form you agree to these terms.
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DISCOVERY Cognitive Examiners Training Workshop

FLIGHT REQUEST