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Meeting Travel Request Form

Please complete the following form to request a contract for your meeting(s). Travel is valid for a minimum of 10 passengers originating from various cities traveling to a common destination. American Airlines Group & Meeting Travel will forward your quote or contract within 48 hours of submission Monday - Friday.

* Indicates a Required Field ** Required Only if Preferred Contact Method

Your Contact Information


Prefix: *

First Name: *

Middle Name:

Last Name: *
Suffix:

AAdvantage® Number:

Email Address: *

Re-enter to Verify: *
Group Reference Code:
Organization/Company Name:
Job Title:

Address Line 1: *
Address Line 2:

City: *

State/US Territory/Province: *

ZIP/Postal Code: *

Country: *

At Least One Phone is Required *

	Int'l Code	Area/City Code	Number	Ext.

Business Phone:	-	-

Home Phone:	-	-

Fax:	-	-

Travel Agency Information ( if applicable )

Travel Agency: **

ARC/IATA Number: **

Agent Name: **
Pseudo City Code:
CRS Type:
Email Address:

Address Line 1:
Address Line 2:

City:

State/US Territory/Province:

ZIP/Postal Code:

Country:


	Int'l Code	Area/City Code	Number	Ext.

Daytime Phone: **	-	-

Fax:	-	-

Meeting Travel Information
American Airlines Group & Meeting Travel can serve your travel needs for flights from the U.S. and Canada to any of our destinations worldwide. If you need service from international cities, please use the Special Needs section of this form.
Contract Type: *

Discount	Zone and Discount	Zone

Note: A 2-day travel window is permitted before and after your meeting(s)
Example
Meeting Name : Sales Meeting	Meeting City : Dallas, TX	Number of Passengers : 25
Start Date: Jan 15, 2006 End Date: Jan 20, 2006
Meeting
Meeting Name	Meeting City	Number of Passengers
Start Date End Date
Meeting
Meeting Name	Meeting City	Number of Passengers
Start Date End Date
Meeting
Meeting Name	Meeting City	Number of Passengers
Start Date End Date
Meeting
Meeting Name	Meeting City	Number of Passengers
Start Date End Date
Meeting
Meeting Name	Meeting City	Number of Passengers
Start Date End Date

A 10-passenger minimum is required for participation. A Group & Meeting Travel specialist will contact you to confirm your additional meetings.

How Will You Handle Reservations/Ticketing? *

American Airlines

Agency

Both

Other Information:

Characters Remaining:

Special Needs/Requests
Yes, I would like special low rates with your Avis® Rental Car Program.
Please Note Other Special Needs Below:
Note: We occasionally receive notification that our responses to customer emails have been blocked by email "SPAM" filters. Please ensure that your email account accepts emails from American Airlines if you would like to receive a response.
Characters Remaining:
Please provide me with the following: *	Preferred contact method: *

Quote for Above Travel Complete Contract
Send Information to: *

Me
Travel Agency
Your contract will be sent via e-mail or fax within 48 hours of submission Monday-Friday. For Further assistance please call: In the US: 1-800-221-2255 Internationally: Fax 001-817-931-4387 e-mail: AAGMT.internet@aa.com