Phillips Travel Service - Student Travel

Phillips Travel Service - Student Travel - South Lyon, Michigan

Phi Delta Chi - Professional Pharmacy Fraternity
116 N Lafayette, Suite B, South Lyon, MI 48178
P 800-732-1883
F 248-486-1906

Arrangements Made by
Phillips Travel Service, Inc.
1-800-783-2019
M-F 9:00 - 5:00 EST


	Traveler - General Information
	Please enter information exactly as it appears on valid identification (Government Requirements)

	Traveler First Name:
	Traveler Middle Name:
	Traveler Last Name:
	Gender: Male/Female
	Date of Birth: MM/DD/YYYY
	Traveler Phone:
	Traveler Email:
	Traveler Address:
	City:
	State:
	Zipcode:
	Destination Facility Name:
	Destination Facility Address:

	Flight

	Departure Airport:
	Preferred Airline:
	Frequent Flyer #:

	Desired Departure Time Going:
	Desired Departure Time Returning:
	Special Needs or Requests:

CREATING EDUCATIONAL TOURS FOR OVER 57 YEARS

Phillips Travel Service 110 N. Lafayette - South Lyon, MI 48178

Toll Free: 800.783.2019 Local: 248.437.1733 Fax: 248.437.7642