Travel Request Form

Name as per passport/government ID*

First / Given NameMiddle Name (if no middle name - leave blank)Last / Surname Name

Rotary District*

Phone Number*

Area CodePhone Number

E-mail*

Secondary Email (if desired)

example@example.com

Date of Birth*

MonthDayYear

TSA PreCheck or Global Entry Number

Gender*

The following documentation requirements must be met before completing and submitting this form. If you have not obtained host information, background check info, your passport and any required visas, you must do that before proceeding.

Confirm host information has been obtained:*

Yes

Confirm host background check has been completed*

Yes

Upload Passport*

Browse Files

File Type Accepted: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif

Upload Visa*

Browse Files

Departure Airport*

Departure Date*

MonthDayYear

Destination Airport*

Seating preference (aisle or window seat)*

Frequent flyer numbers (Airline name & number please)

Other information we should know?

Do you plan on purchasing Travel Insurance (recommended)*

Yes / MaybeNo

You are highly encouraged to purchase travel insurance to cover your trip. No matter where you explore, travel insurance is a smart idea. The AIG / Travel Guard Preferred Plan offers 24/7 travel assistance service, coverage for medical expenses, trip cancellation and interruption, lost baggage, baggage delay, severe weather, strike, and medical evacuations. Please note that COVID may not likely be covered under any insurance plan.

For more information: click HERE.

Checking this box does NOT mean you have purchased insurance. The link above will take you to TravelGuard/AIG where you can look at various plans, get quoted pricing, and identify the best plan for your trip.

A couple of things to note: Insurance should be purchased within 14 days of your ticket being purchased. We recommend you include the Cancel for Any Reason (which is for virtually any non-covered reason) which will ensure 50% of your costs get reimbursed. Please be sure to read all of the coverage terms and conditions before purchasing.

Any questions should be directed to AIG/Travel Guard only - the agency will not be able to provide answers to policy questions.

Travel Form