Kubica-Green wedding

JULY 5, 2008 AT CHÂTEAU DE LA CÔTE IN BIRAS-BOURDEILLES, BRANTOME FRANCE

TRAVEL RESERVATION REQUEST FORM

All travel arrangements can be made through Helen Zeilberger at Protravel International. Protravel has negotiated favorable and competitive rates for your airfare and is holding several types of properties in the area of the wedding. Please complete the form below and submit it to Helen 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

Accommodations and Transfers


Dates of Hotel in Wedding Area
Transfers To/From Airport		Car Rental Required

There are several room options to choose from which we can discuss: Hotel room, Bed and breakfast inn, Gite (auberge/country home). If you want a house please supply the following:

House For persons

Sharing With

Pre and Post Wedding Arrangements Needed:

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 Helen Zeilberger direct with a major credit card number for billing purposes.

				Helen Zeilberger
				Protravel International
				helenz@protravelinc.com
				phone: 310 230-7467

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 310 230-7468. For questions or changes please email us at helenz@protravelinc.com, or call the number above. 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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