Escapade Travel
Quick Fax Reservation Form
Please print out this form, fill in and fax to us - write dark please

All quotes given are based on availability. We are not liable for price changes or availability.

Traveler(s) Name(s) ____________________________________________________________

Company ____________________

Telephone Number ______________________ Fax Number ____________________

AIRLINE INFORMATION

Departure City _________________________ Departure Date __________ Time_______

Destination City ________________________ Return Date _____________Time _______

Airline Preference _________________________ Frequent Flyer Number _____________

Seating Preference: ____AISLE ____ WINDOW

HOTEL INFORMATION

Hotel Preference ___________________________ Location ________________________

Check-In Date _____________ Check-out Date ___________ Smoking? ____YES ____ NO

Bed Type __________ Guarantee to Credit Card # _______________________ Exp ______

CAR RENTAL INFORMATION

Car Company Preference ___________________ Corporate ID _____________________

Rental City ___________________ Dates __________________ Pick-Up Time ________

Vehicle Size/Type ________________ 2-DOOR 4-DOOR

SPECIAL REQUESTS OR INSTRUCTIONS

___________________________________________________________________________

___________________________________________________________________________

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FAX TO (419) 298-3109

An affiliate of Carlson Millstream Travel
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Escapade Travel    Edgerton, Ohio    Ph. 419-298-3226  Fax 419-298-3109