SPLIT FOP FORM

Corporate: 585.244.1100

Vacation: 585.244.8300

CST No. 2106809-40

Van Zile Travel is a full service travel management company for Corporate, Group, Meeting, Incentive, and Leisure Travel.

SPLIT FOP FORM Done by Agent: *

PAX #2 Name:

SPLIT FOP FORM - Emails to Amy

PAX #2 MCO Ticket # (Invoice on Leisure ID)

FULL Ticket Price *

RM*EXA* Amount (Company Paying) *

PAX #2 New Ticket # (Invoice on Company ID)

MCO Amount (PAX Paying) *

PAX #1 Name: *

FPCCCA54998888777766665555/0522+CCVI4444333322221111/1222/EXA Amount

(PAX Credit Card [MCO]) + (Company Credit Card) / (Amt Company Paying [add-collect])

Special Notes:

PNR: *

PAX #1 MCO Ticket # (Invoice on Leisure ID) *

PAX #1 New Ticket # (Invoice on Company ID) *