Phillips Travel Service - Student Travel

Phillips Travel Service - Student Travel - South Lyon, Michigan

Business Travel Request

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


	Check Boxes for Needed Services
	Flight Hotel Rental Car

	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 Phone:
	Traveler Email:
	Traveler Address:
	City:
	State:
	Zipcode:
	Destination Facility Name:
	Destination Facility Address:

	Flight

	Preferred Departure Airport:
	Preferred Airline (and Rewards #):
	Need Arrival/Departure Times:

	Hotel and Car Rental

	Preferred Hotel and Rewards #:
	Car Agency and Rewards #:
	Special Needs or Requests:

CREATING EDUCATIONAL TOURS FOR OVER 57 YEARS

Phillips Travel Service 110 N. Lafayette - South Lyon, MI 48178

Toll Free: 800.783.2019 Local: 248.437.1733 Fax: 248.437.7642