International Insurance Society

IIS 43rd Annual Seminar
InterContinental, Berlin, July 8-11, 2007

TRAVEL RESERVATION REQUEST FORM

Please complete the form below and submit it to Protravel International so we can help make your travel as smooth and pleasant as possible. Thank you!

Personal Information


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

Flight Request Information

Preferred Airline


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

Pre and Post - Tour Options

Protravel International would be happy to assist you with pre- and post- tours during your stay in Berlin. Please review some sample itineraries below, or contact Vicky Metcalfe at 1-212-702-26272 (e-mail VickyM@protravelinc.com) to discuss other customized options.
A full day tour of Berlin	Details
Frankfurt to Berlin	Details
Berlin to Rhine	Details

Special Requests

Please indicate below any special requests you might have that we can assist you with. (Special meal prefernces, airport pickup etc.)

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


		Vicky Metcalfe
		Protravel International
		10 East 53rd Street
		New York, NY  10022
		Phone:  1-212-702-2672
		Fax:     1-646-792-4625
		E-Mail:  VickyM@protravelinc.com

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 1-646-792-4625. For questions or changes please email us at VickyM@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.