Travel Reservation Request Form

Contact Information

Travel Arranger Name:
Travel Arranger Email:
Travel Arranger Phone:
Travel Arranger Fax:

Your UTD Cost Center Number: 

Please select what type of transaction this will be:

**For changes or cancellations, please indicate original departure date and traveler name:

Special preferences will be requested based on your travel profile. If incomplete or no profile exists, please update your traveler profile and e-mail changes to Carlson Wagonlit (CWT) at

Traveler Information

Full Name as shown on government-issued ID:
Mail Stop:
Purpose of travel:

Delivery Information (If not an Electronic Ticket)

Deliver To:

Airline Travel Arrangements (If multileg flight, please use remarks section below)

An electronic ticket (ETKT) will be issued unless otherwise requested in the remarks section.
NOTE: State contract fare will be quoted in addition to other fares requested.

Departure city and state: Dallas Love Field
DFW Airport
Departure date:
Approximate Time OR Airline and Flight Number of departure:
Arrival city and state:
Return date:
Approximate Time OR Airline and Flight Number of return:

Car Rental Arrangements

Car rental company:
Car type/size:
Special Requests:

Hotel Accommodations (Leave blank if not required)

Preferred hotel:
Alternate hotel:
Check-in date:
Check-out date:

Guarantee for late arrival: ***If credit card number is not included in your current CWT Traveler Profile, an agent will contact you via phone for a valid number.

Room Type:
Size of bed:
Special Requests:

For questions related to your travel reservation request, call 972-277-8706 or 888-259-5307.

Last Updated February 25, 2013