Fill and Sign the Travel and Advance Authorization Form

      REQUESTING INDIVIDUAL (NAME)       EMPLOYEE NO.       DEPT. NO.       REQUEST DATE TRADE SHOW CUSTOMER/ VENDOR VISIT SEMINAR RECRUITMENT OTHER (SPECIFY)                  DESCRIPTION/ DESTINATION ADVANCE REQUESTED CHECK AMOUNT       DATE NEEDED       REOUESTOR S MANAGER             DEPARTMENT VP             PRES EVP VP FINANCE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             HOTEL ARRIVE DEPART AGENCY FROM TO                                                                                                                                                                                                                                   Airli ne Res ervat ions Hote l and Auto TRAVEL AND ADVANCE AUTHORIZATION REQUEST N° PURPOSE OF TRIP IMPORTANT NOTICE TO EMPLOYEES REQUESTING TRAVEL AUTHORIZATION 1. Reimbursement for travel expenses will be made according to the terms of the current Travel and Business Expense Policy. 2. Air travel arrangements are to be made by RENTAL CAR REQUESTED YES NO the travel coordinators, not by individual employees. REQUESTOR'S SIGNATURE APPROVAL S 3. If it is necessary to cancel a hotel reserva- tion, it is the employee's responsibility to notify the travel coordinator early enough to avoid being charged for the hotel room. FROM TO CARRIER FLIGHT NO. DEPART ARRIVE DATE TIME DATE TIME CITY VISITED LODGING AUTO RENTAL TRAVEL COORDINATOR: