To receive a quote or to purchase tickets, please complete this form an click on the "Submit" button at the bottom of the page.

If you are purchasing tickets and do not want to send your credit card number by e-mail, please print this form, fill it out manually, and fax it to us at the number bellow.

Too busy? Just give us call at 1-800 626 8422 or send us an email. We will contact you shortly to discuss your traveling plans.

Thank you for using Fredson Travel.

 

Passenger Name List

 

Last Name

First Name

Adult
Child

Age

 

Last Name

First Name

Adult
Child

Age

Last Name

First Name

Adult
Child

Age

Last Name

First Name

Adult
Child

Age

Last Name

First Name

Adult
Child

Age

 

 


Flight Details

 


Itinerary, Dates and Times

 
 

From

Date

AM
PM

 

To

Date

AM
PM

To

Date

AM
PM

To

Date

AM
PM

 


Airlines Prefered

 

Airline

Membership Number

Airline

Membership Number

Airline

Membership Number

 


Seating Preferences >      Window  Aisle
 

 
 

Special Meal >      Vegetarian  Kosher  Lo Cal  Lo Sodium
 

 
 

If available, would you like us to issue electronic tickets? >      Yes  No
 

 
 

Aditional Notes

 

 

 


Rent a Car

 

Size >      Economy  Compact  Full Size  Other
 

 
 

Car Rental Company Preferences

 

Company

Membership Number

Company

Membership Number

Company

Membership Number

 

Aditional Notes

 

 

 


Hotel Information

 

Location >      Center of the City   Resort   Close to the City Airport   Other
 

 
 

Smoking >      No Smoking Room  Smoking Room
 

 
     

Hotel Chain

Membership Number

Hotel Chain

Membership Number

Hotel Chain

Membership Number

 


Room Occupancy >   Single   Double   Double with 2 beds   Other

Specify Details:

 


 

 


Payment Method

 


  Visa   Master Card   Discover   Amex   Call me for Card Information

 
 

Account Number

Expiration Date

 
 

 


Address for Overnight Delivery (Receipt signature required)

 

Name

 

Address

City

State

Zip

Work Phone

Home Phone

Fax

E-mail Address


Comments

 


 

 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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