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International Insurance Society
45th Annual Seminar

June 7 – 10, 2009 Amman, Jordan

TRAVEL RESERVATION REQUEST FORM

All travel arrangements can be made through Protravel International, one of the country's leading travel management companies. Protravel has negotiated favorable and competitive rates for your airfare. Please complete the form below and submit it to Protravel International so we can help make your travel as smooth and pleasant as possible. Please make sure to enter your name as it appears on your government issued photo ID or Passport. Thank you!

Personal Information

 
First Name Middle Initial
Last Name Title
Email address to send
Electronic Ticket Confirmation
Business Phone Cell Phone
Home Phone
Second Guest's First Name
Second Guest's Last Name

Flight Request Information

Airline
Preferred Airline:
Class of Service: Coach   Business Class   First Class
Departure
Departure Airport:
Departure Date:  
Preferred Departure Time:  
Return
Return Airport:
Return Date:  
Preferred Departure Time:  
Frequent Flyer Number
Seat Preference Window   Aisle
Special Requests

If you are making a reservation for a guest for whom you are paying, please submit a separate form and then call Vicky Metcalfe direct with a major credit card number for billing purposes. 

         Vicky Metcalfe
         Protravel International
         10 East 53rd Street
         New York, NY 10022
         Tel: 212.702.2672

Thanks for using Protravel. Please make sure all the information provided is correct, and then click the FINISH button to submit your travel request, or print this form and Fax it to 646-792-4625. For questions or changes please email us at Vicky.Metcalfe@protravelinc.com, or call Protravel Direct. Please print a copy of this for your records.

The information contained in this form will be used by Protravel International for our internal marketing and will not be sold to or shared with any third party organization.

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