Let’s Play Hockey International Expo
Travel Request Form
Personal Information
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email Address:
Airline Preference
American Airlines
Northwestern Airlines
Other Airline:
* Special Discounts Apply on “Official Airlines” listed to the left.
Seating:
Aisle
Window
Departure:
Departing Airport:
Departure Date:
Departure Time Preference:
Before Noon
Noon to 6:00pm
After 6:00pm
Anytime
Return:
Return Airport:
Return Date:
Return Time Preference:
Before Noon
Noon to 6:00pm
After 6:00pm
Anytime
Travelers
First Name
Last Name
Fequent Flyer Number
Passenger 1
Passenger 2
Payment Information
I authorize Prestige Travel to charge the requested airline tickets to the credit card below:
American Express
VISA
Master Card
Other
Have a Prestige Travel Agent Contact me for payment information
Card Number:
Expiration Date:
Month
--
1
2
3
4
5
6
7
8
9
10
11
12
Year
--
2005
2006
2007
2008
2009
2010
2011
2012
Name as it appears on Card:
I understand Prestige Travel will add a $15 service fee for each ticket issued ($20 if requested through the 800#)
Special Requests/Comments
Prestige Travel & Cruises
702-253-9909