Barr Center Travel Request Form

If you are traveling with others, each person will need to fill out this form for air travel.

Please list your full name as it appears on your valid government issued photo identification you will be using for travel. The name on your ticket must match the name on your ID or you may be denied boarding. No refunds are made for denied boarding.

First Name*

Middle Name*

If no middle name, put NA

Last Name*

Date of Birth*

Date

Gender*

Email*

(Note:This email will be used to communicate all reservation information)

Phone Number*

Area CodePhone Number

Cell Number*

Area CodePhone Number

Traveling for*

Type of Event*

Hotel only or airfare + hotel?*

I will be driving (No airfare needed)I will need airfare + hotel

Departing City (Airport)*

Destination City*

Travel Date for Departure*

MonthDayYear

Arrive By*

:HourMinutesAM/PM Option

Travel Date for Return*

MonthDayYear

Depart By*

:HourMinutesAM/PM Option

Returning City(Airport) if different

Special Requests

Please include any special requests regarding your flight.

CAR RENTAL INFORMATION

Car rental needed?

Size Needed

Special Requests

Please include any special requests regarding your car rental.

HOTEL INFORMATION

Do you need a hotel?

Name of Preferred Hotel #1

Name of hotel or nearest address of location you are visiting

Name of Preferred Hotel #2

Name of hotel or nearest address of location you are visiting

Special Requests

Please include any special requests regarding your hotel room. Address or nearest location of where you will be visiting. If you need more than one hotel provide that information in this request area.

EVENT INFORMATION

Type of Event*

Please Indicate Type of Event:

Event Name

Are you traveling on behalf of a school?*

Name of school:*

BUS INFORMATION

Do you need bus transportation?

Special Requests

Please include any special requests regarding your transportation. Address or nearest location of where you will be visiting.

TRAIN INFORMATION

Do you need train transportation?

Special Requests

Please include any special requests regarding your transportation. Address or nearest location of where you will be visiting.

ADDITIONAL TRAVELERS

Are you traveling with anyone else?

Please provide additional traveler's names:

Other Notes to Agency:

Submit your form to Travel Leaders/Market Square Travel for processing.

Air/Hotel Travel Request Form