DEPARTMENT NAME


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NAME
TELEPHONE
E-MAIL
FAX NUMBER

RESERVATION TYPE |  »CAR ONLY |  »HOTEL ONLY
New Reservation Change Reservation Cancellation Notice

TRAVELER(S) NAME

Example: Clark Kent, Bruce Wayne, etc.
5 DIGIT GENERAL SERVICES NUMBER
N/A
AIRLINE RESERVATION
OUTBOUND
TRAVEL DATE
FROM CITY TO CITY DESIRED
DEPARTURE TIME
SPECIAL REQUESTS
      
      
      
INBOUND
TRAVEL DATE
FROM CITY TO CITY DESIRED
DEPARTURE TIME
SPECIAL REQUESTS
      
      
      
SEATING: Window | Aisle
FARE TYPE:
  I would like a fare that I can change or cancel.
  I would like the lowest possible fare. ( Nonrefundable and penalties for any changes.)
  I would like a state rate.
COMMENTS

CAR RENTAL: Yes | No
VENDORS
DATES / LOCATIONS
SPECIAL REQUESTS
COMMENTS
The State will only pay for a compact car, Enterprise will give a free upgrade to intermediate, however any request that is larger may not be approved by the State Controllers office. If you are requesting a larger car please provide a reason and supervisor information.
Reason and Supervisor Approval
You may have to pay for your car rental with a personal credit card, check with your accounting dept.

HOTEL RESERVATIONS: Yes | No
First Choice COMMENTS
Second Choice
Third Choice
SMOKING  |   NONSMOKING
 Do you have a credit card on file for your hotel booking?   Yes    |   No  
A personal credit card is required for hotel bookings only. If you have a credit card on file with us that you would like us to use, please indicate by checking that selection. If you do not have a credit card on file with us, please call us at 916-974-6855 or 888-645-6437 so we can take your number over the phone. Do not put your credit card number on this reservation.

COMMENTS:
 
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