Contact e-Business Travel | Zakenreizen | Luxe reizen

TRAVEL REQUEST FORM

TRAVELLER PROFILE: If we have all necessary information of this traveller in an existing profile, please choose Available and continue. If this is not the case and this is a new traveller, you need to choose Not available and complete the profile form below before you complete this travel request. *

Available
Not available

Please complete this form.

GENERAL INFORMATION

Booking date

Date of this request

Travel date (dd/mm/yyyy) *

Company name *

Name booker *

E-mail booker *

Cost centre

Business unit

TRAVELLER DETAILS

Name traveller (according to passport) *

Voornaam

Achternaam

First name: according to passport, Last name: according to passport

E-mail traveller *

Mobile phone traveller *

TRAVEL REQUEST

Which kind of booking do you request *

Flight
Hotel
Car
Train

Multiple choices possible

Check In Bagage (number of pieces)

Hand Bagage (number of pieces)

Special meal *

What kind of meal

Are you travelling together? *

With whom? If you would like us to book a (similar) trip for this traveller, please fill out a new travel request

FLIGHT

Type of flight *

one-way flight
return flight
multiple flight

Class *

economy
economy comfort
business class

Departure date / time indication *

Datum

Tijd

Departure from *

Arrival at *

Return date / time indication *

Datum

Tijd

Departure from *

Arrival at *

Departure date / time 2 *

Datum

Tijd

Departure from 2 *

Arrival at 2 *

More destinations?

If you want to travel to more destinations, select yes.

Departure date / time 3 *

Datum

Tijd

Departure from 3 *

Arrival at 3 *

More destinations?

If you want to travel to more destinations, select yes.

Departure date / time 4 *

Datum

Tijd

Departure from 4 *

Arrival at 4 *

More destinations?

If you want to travel to more destinations, select yes.

Departure date / time 5 *

Datum

Tijd

Departure from 5 *

Arrival at 5 *

Return date / time indication *

Datum

Tijd

Departure from *

Arrival at *

Remarks

HOTEL

Connecting to flight? *

Do you want your hotel reservation connected to your flight?

Which flight

Flight number or reservation number.

Preferred hotel

Destination *

Breakfast *

Check in date/time

Datum

Tijd

Check out date

Payment *

Payment on invoice
Local payment

Payment on invoice: invoice paid in advance.
Local payment: payment at hotel reception desk.

Remarks

CAR

Connecting to flight? *

Do you want your car rental connected to your flight?

Which flight

Flight number or reservation number.

Car pick up location *

Car pick up date / time *

Datum

Tijd

Car drop off location *

Car drop off date / time *

Datum

Tijd

Category *

Name main driver in case you are travelling with multiple travellers

Payment

Prepayment (credit card needed for deposit)
Locally with driver’s credit card
Full credit (all costs charged on invoice after rental)

Extra’s

Winter tires
Navigation
Additional driver
Border crossing

Multiple choices possible.

Which country (border crossing)

Remarks

TRAIN

Trip *

One way
Return

Departure from *

Arrival at *

Departure date / Time *

Datum

Tijd

Departure from (return trip) *

Arrival at (return trip) *

Return date / Time *

Datum

Tijd

Class *

Type of ticket

Remarks