roundtripfrom
 

I'M TRAVELING ROUND TRIP ARRIVING INTO EUGENE
Fill out the form below and press the "SUBMIT" button below, then CHECK your email.
You will receive a copy of this form (review it for accuracy of your submission).
You will then receive an email with a link to the payment site.
IMPORTANT that you complete that process for the reservation request to be confirmed.


ATTENTION
When you arrive at the Eugene airport please check in at the OmniShuttle counter
located straight out from the secure terminal area to confirm your arrival.

     
  *Required Field  
 
YOUR INFORMATION
 
  *Arrival Date :   
 
*Arrival Time : :     AM     PM
 
 
*First Name : 
 
 
*Last Name:  
 
 
*Cell Phone Number : 
 
 
*E-Mail Address : 
 
 
*Arrival Airline : 
 
 
*Flight Number :
 
 
*Destination Address : 
 
 
*Destination City : 
 
 
Hotel : 
 
 
Hotel City : 
 
 
*Number of Adults 12 And Over :
 
 
*Number of Children Under 12 :
 
 
Will You Need Special Assistance?  Yes  No
 
 
Trip Code (If Applicable)
 
 
 
DEPARTURE FLIGHT INFORMATION
 
  *Departure Date :   
 
*Departing Flight Time : :     AM     PM
 
 
*Departure Flight Number :  
 
     
 
*I agree to the Terms and Conditions:
 
 
Notify Me Of Special Offers Or Promotions:
 
 
 
   
 
 
 

Only click "Submit Form" once. It may take a few seconds to process. After clicking "Submit Form" you will receive a confirming E-Mail.
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