Land/Air Request
First Name
*
Last Name
*
Member Number
*
E-mail Address
*
Phone Number
*
Destination
*
Travel Dates
*
How Many Adults
*
How Many Children
*
Travel Needed
Hotel
Airfare
Car Rental
Attraction Tickets
Flight Information
What City/Airport Will You Be Flying From?
What City/Airport Will You Be Flying To?
Seating Class
Coach
Business
First Class
Seating Location
Window Seat
Aisle Seat
Front of Plane
Back of Plane
Wing Seats
Preferred Airline?
Additional Comments
Hotel Information
How Many Rooms
Special Amenities
Example: Indoor Pool, Wi-Fi, Free Breakfast, Sauna
Special Needs
Example: Wheelchair Accessible, Low Floor, No Stairs
Smoking Preference
Yes
No
Additional Comments
Car Information
Pick Up City
Drop Off City
Age of Driver
18-20
21-24
25+
Type of Vehicle
Economy
Compact
Eco-Friendly
Mid-Size
Full Size
Premium
Convertible
Luxury
Mini Van
SUV
Large SUV
Pick Up Truck
Cargo Van
Passenger Van
Other
Include GPS?
Yes
No
Transmission
Automatic
Manual
Additional Comments
Submit
Should be Empty: