TRIPFINDER (c) 1992 - Version: Testdrive ░░░░░░░░░░░░░░░░░░ Reservation Request Form - Screen 2 of 4 ░░░░░░░░░░░░░░░░░░░░ TripFinder Reservation Center will respond within 48 hours of receipt of this request form. Remember to indicate at the end of the form the approximate time of day and telephone number (voice or fax) for request confirmation. TripFinder Reservations Dept. Fax:(214)-713-9124 (available 24 hours) 16910 Dallas Parkway, Ste. 118 Online Booking (via modem):(214)-713-0376 Dallas, TX 75248 Telephone:(214)-713-9121 (9am-6pm CST) Today's Date:__/__/__ Please forward all tickets/documents/brochures* to> Title:____ First Name:__________________ Last Name:_________________________ Mailing Address:____________________________________________________________ City:____________________ State:____ Zip:_________ Phone:___________________ Code Number of Trip:_____________ Trip Type:____ Trip Destination Area:____ ░░ PgUp / PgDn / = Prev.Fld / = NextFld / Alt-P to Print / ESCape to Exit ░░ TRIPFINDER (c) 1992 - Version: Testdrive ░░░░░░░░░░░░░░░░░░ Reservation Request Form - Screen 3 of 4 ░░░░░░░░░░░░░░░░░░░░ Supplier of Trip:___________________________________________________________ :___* Brochures are available if noted in the trip record at a cost of $3.00. Desired Departure Date:_________________ Alternate Date(s):__________________ We Wish to Depart From (City):_______________________________________________ Names of Travelers> Total Number of Travelers:_____________ 1. Title:____ First:__________________ Last:________________________ :____* 2. Title:____ First:__________________ Last:________________________ :____* 3. Title:____ First:__________________ Last:________________________ :____* 4. Title:____ First:__________________ Last:________________________ :____* * Please note age at time of travel if 12 years or under. Comments:____________________________________________________________________ _____________________________________________________________________________ ░░ PgUp / PgDn / = Prev.Fld / = NextFld / Alt-P to Print / ESCape to Exit ░░ TRIPFINDER (c) 1992 - Version: Testdrive ░░░░░░░░░░░░░░░░░░ Reservation Request Form - Screen 4 of 4 ░░░░░░░░░░░░░░░░░░░░ We require airfare (if not already included)... :___ Yes :___ No If booking a cruise, preferred dining is....... :___ Early :___ Late For accommodations and dining, preference is... :___ Smoking :___ Nonsmoking Trip interruption/cancellation insurance is.... :___ Desired :___ Declined Payment Form> AMX:__VISA:__MC:__DC:__DS:__Check:__ Money Order:__ (Check One) Card Number:_________________________________ Exp.Date:______________________ Name of Cardholder (Please print):___________________________________________ {For hardcopy only-Cardholder Signature:__________________ Amount:___________} Amount to be charged is for Deposit:__Full Payment:__Brochure:__ (Check One) Please confirm this request by Voice:__ Fax:__ at the following number> Telephone:___________________ Best time to call:_____________________________ ░░░░░░░░░░░ Use Alt-S in last field to Save Reservation Request Form ░░░░░░░░░░░░░ PgUp / PgDn / = Prev.Fld / = NextFld / Alt-P to Print / ESCape to Exit ░░
