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Business Travel Request

Arrangements Made by
Phillips Travel Service, Inc.
1-800-783-2019
M-F 9:00 - 5:00 EST

Please fill out the appropriate information and a Phillips Travel Service Representative will respond to your request promptly!
Check Boxes for Needed Services:
Traveler - General Information
Please enter information exactly as it appears on valid identification (Government Requirements)
Traveler First Name:
Traveler Middle Name:
Traveler Last Name:
Gender Male/Female:
Date of Birth: MM/DD/YYYY
Traveler Address :
Phone:
Email:
City:
State:
ZIP Code:
Country:
Destination Facility Name
Destination Facility Address
Flight Information
Preferred Departure Airport:
Preferred Airline (and Rewards #):
Need Arrival/Departure Times:
Hotel and Rental Car Information
Preferred Hotel and Rewards #:
Car Agency and Rewards #:
Special Requirements/Questions:
Please indicate how you would like us to contact you: (by Phone or E-Mail).
To receive a response you must enter a valid e-mail address.
To protect the security of your email please enter code shown below:
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Phillips Travel Service respects your privacy.
We do not sell or distribute your contact information for any reason.
CREATING EDUCATIONAL TOURS FOR OVER 58 YEARS
Phillips Travel Service 110 N. Lafayette - South Lyon, MI 48178
Toll Free: 800.783.2019 - Local: 248.437.1733 - Fax: 248.437.7642
© Copyright May 19, 2012 Phillips Travel Service. All rights reserved.
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