Travel Request Form - The Barter Authority |

Travel Request Form

TBA members please leave blank

Reciprocal exchange

Contact name

Account

Company

City

State

Zip

Office phone

Cell phone

Name if the person who filled this form if different from contact name above

Filled out by

Tell us what to do:

Book if available within the specified budget. I understand a penalty may apply in the event of a change/cancellation, or this booking may be non-refundable.

Only check availability and rates. I understand with this option it may take longer to book my request.

Give me a list of options. I understand that availability is not guaranteed.

Other

specify if chose Other

Request Type Specifics

Destination first choice

Destination second choice

MM/DD/YYYY

Check in

MM/DD/YYYY

Check out

Length of stay

Rate min

Rate max

Adults

Children

Enter ages in full years at the time of travel

Children ages

Room smoking preference

Room type preference

specify if chose Other

Room type

I have read, understand and agree to be bound by all of the terms and conditions, which are stated on this request form.

Membership application