GRANTEE TRAVEL REQUEST WORKSHEET (GTRW)
This form should be returned eight (8) weeks before the scheduled departure date. All tickets will be purchased a minimum of fourteen (14) days in advance.
Please complete and return to: Raytheon Polar Services Company ATTN: SCIENCE SUPPORT 61 Inverness Drive East, Suite 300 Englewood, CO 80112
Please print clearly Name/Title:
Name as it appears on Passport.
RPSC POC /Supervisor: Fax: 303-792-9006 Phone: 800-688-8606 303-790-8606 Email: sipmail@polar.org Principal Investigator: Event #: Cruise #:
Reminder: Submit Participant changes/updates electronically through ESP.
Home Phone:
(
)
Gender Male Mail Address:
Female
Business Phone: (
Cell Phone: E-mail Address: (
)
)
Fed. Ex. Delivery Address (P.O. Boxes not accepted):
Emergency Contact Name and Phone Number
Airport of Departure (AOD) (Airport/City/State)
Passport #/Country of Issue Passport expiration date:
REQUESTED TRANSPORTATION ARRANGEMENTS: (YOU MUST PROVIDE RETURN DATE EVEN IF APPROXIMATE.)
From City/State and/or Airport
To City/State or Country
*Date
ETD Earliest/latest
ETA Earliest/latest
Seating Requests
Special Meal Requests
Vessel Departure Date: Arrival Date at McMurdo Station: Arrival Date at South Pole Station**:
**Arrival dates must be coordinated with the South Pole Assnt Area Manager
Arrival Date at Palmer Station:
*Allow a minimum of four (4) days prior to requested date of departure to Antarctica for travel time from AOD to Christchurch, NZ and three (3) days prior to requested date of departure to Antarctica for travel time from AOD to Punta Arenas, Chile, or vessel departure date. All travel arrangements are made in accordance with the Federal Acquisition Regulations (FAR) and in the best interest of the U.S. Government.
All business stops must be approved by the NSF in advance of ticketing. If stops are required, please provide an explanation. If personal travel or meetings are planned during deployment, please detail below. Any personal stops en route must be coordinated directly with the airline, and any additional costs incurred due to personal stops will be the traveler’s responsibility. Complete the Excess Baggage Request form when excess baggage is required . The Excess Baggage Request form and/or the
USAP Participant Guide 2000-2002 provides further instructions regarding excess baggage. If you plan to hand-carry high value/high tech items, RPSC DSG will provide you with an original, individually assigned customs form for your hand-carry items. Contact RPSC DSG for further instructions at 800-688-8606 or 303-790-8606. HOTEL REQUESTS: (Christchurch, NZ, and Punta Arenas, Chile hotel suggestions are listed on the back of this form) Check in date Check out date Christchurch, NZ Santiago, Chile Punta Arenas, Chile Other Contact phone number/address if "other" 1st Choice of Hotel 2nd Choice of Hotel No Hotel Preference. Roommate (name) Single Twin Beds Double NO HOTEL REQUIRED Local contact phone number if no hotel required Credit Card Number to Guarantee Room Reservation for late arrivals: Expiration:
Traveler's Signature/Date:________________________________ Principal Investigator/RPSC Point of Contact Signature/Date:_______________________________ RPSC Form PA-A-100b, Deployment Specialist Group, Revision #0 24 January 2001, All Locations, Approved by Lynn Dormand
CHRISTCHURCH, NZ
Prices are in New Zealand dollars excluding tax and are based on 1999/2000 season rates so are subject to change.
Hotels Airport
Airport Gateway Motor Lodge Airport Plaza (now Sudima Hotel) Commodore Hotel
Phone
(03) 358 7093 (03) 358 3139 (03) 358 8129 (03) 379 1180 (03) 365 2898 (03) 366 1068 (03) 365 8888 (03) 365 1600 (03) 348 8999 (03) 379 5880 (03) 365 4699 (03) 355 3535 (03) 355 3577 (03) 366 8444 (03) 377 9722 (03) 379 2999 (03) 3651111 (03) 379 8660 (03) 365 7799 (03) 355 5633 (03) 342 7150 (03) 348 5049 (03) 379 4560 (03) 358 8122 (03) 358 5119 (03) 342 9464 (03) 355 6037 (03) 366 1633 (03) 365 8180 (03) 366 1855 (03) 377 3363 (03) 366 9099 (03) 3774485 (03) 366 7808 (03) 366 5111 (03) 366 0398 (03) 366 2850 (03) 366 1503 (03) 379 8429 (03) 379 4620 (03) 377 0550 (03) 365 0502
Fax
(03) 358 3654 (03) 358 3029 (03) 358 2231 (03) 366 7590 (03) 379 2388 (03) 365 2331 (03) 365 8822 (03) 366 5660 (03) 348 8990 (03) 365 4806 (03) 366 6302 (03) 355 6695 (03) 352 0290 (03) 372 6000 (03) 377 9881 (03) 379 0999 (03) 365 7676 (03) 366 9973 (03) 365 0082 (03) 355 3554 (03) 342 7153 (03) 348 0810 (03) 366 6747 (03) 358 8122 (03) 358 7164 (03) 342 9464 (03) 355 6036 (03) 379 1332 (03) 365 8378 (03) 379 8796 (03) 377 3445 (03) 366 9099 (03) 377 4485 (03) 366 7808 (03) 377 6110 (03) 366 0398 (03) 374 2470 (03) 366 9796 (03) 379 8429 (03) 379 4647 (03) 377 0550 (03) 365 1386
Address
45 Roydvale Ave Cnr Memorial Av and Orchard 449 Memorial Ave 356 Oxford Tce 66 Cathedral Square 19 Bealey Ave Corner of Cashel and High Cnr Kilmore & Montreal St 189 Deans Ave 776, Colombo Street Cnr Durham and Kilmore 88 Papanui Rd 456 Papanui Rd 87-89 Kilmore St 28-30 Cathedral Square 161 Cashel St 14 Cathedral Square 263 Bealey Ave Cnr Durham and Kilmore 42 Papanui Road 118 Racecourse Rd 110 Mandeville St 50 Park Tce 94-98 Roydvale Ave 105 Roydvale Ave 3 Dinton St, Russley 49 Papanui Rd 87 BealeyAve 100 Sherborne St 960 Colombo St 193 Bealy Ave 850 Colombo St 72 BealeyAve 19 Manchester St 63 Armagh St 69 Armagh St 56 Armagh St 52 Armagh St 268 Madras Street 241 Gloucester St 50 Cathedral Square 12 Hereford St
Single/Rm Twin/Rm
$86.00 $95.60 $101.25 $95.00 $95.00 $80.00 $140.00 $106.85 $121.50 $99.00 $99.00 $96.00 $95.00 $111.00 $123.80 $118.00 $141.00 $50.00 $185.00 $85.00 $65.00 $84.00 $110.00 $78.00 $84.00 $60.00 $75.00 $60.00 $80.00 $95.00 $75.00 $70.00 $88.00 $45.00 $65.00 $63.00 $85.00 $60.00 $25.00 $50.00 $35.00 $37.00 $86.00 $95.60 $101.25 $95.00 $95.00 $80.00 $140.00 $106.85 $121.50 $99.00 $99.00 $110.00 $95.00 $111.00 $123.80 $118.00 $141.00 $65.00 $185.00 $85.00 $78.00 $84.00 $110.00 $91.00 $89.00 $70.00 $95.00 $75.00 $95.00 $108.00 $75.00 $70.00 $88.00 $70.00 $90.00 $85.50 $98.00 $90.00 $30.00 $55.00 $35.00 $50.00
Other
Some rooms with kitchens Outdoor swimming pool Indoor swimming pool
Hotels City
Avon River Centra (now Holiday Inn) Camelot Cathedral Square Cariton Mill Lodge Centra Christchurch Chateau Blanc Suites Chateau on the Park Copthorne Central Copthorne Durham Cotswold Hotel Elms Hotel Fino Casementi Heritage Hotel Hotel Grand Chancellor Millennium Hotel Pacific Park Parkroyal (now Intercontinental) Pavillions Racecourse Hotel Riccarton Village Inn The George Hotel
Breakfast and Dinner only Apartments with kitchens Indoor lap pool & spa $168 for superior rooms No laundry
Motels/Airport
Aarburg Airport Motel Airport Lodge Motel Mountain View Motel Some rooms with kitchen
Motels/City
Adelphi Motel Akron Motel "The QuietOne" Alcala Motor Lodge Alexandra Court Motel Bella Vista Motel City Court Motel Tuscana Motor Lodge
New units
Bed/Breakfast/City
Ambassadors Bed & Breakfast Croydon House Bed and Breakfast Devon Private Hotel The Grange Guesthouse Windsor Bed and Breakfast
All rooms share facilities All rooms share facilities Huge variety of rooms Formally Paviovas
Backpackers/City
Charlie Bs Backpackers Stonehurst Backpackers Wamers on the Square YMCA
PUNTA ARENAS, CHILE (U.S. Currency Rate)
HOTEL SAVOY CONDOR DE PLATA TIERRA DEL FUEGO AUSTRAL LOS NAVEGANTES FINIS TERRAE CABO DE HORNOS ISLA REY JORGE JOSE NOGUEIRA DE LA AVENIDA'S HOSTAL NENA'S HOSTAL ADDRESS JOSE MENENDEZ # 1073 COLON AVENUE # 556 COLON AVENUE # 716 PEDRO MONTT # 840 JOSE MENENDEZ # 647 COLON AVENUE # 766 PLAZA MUNOZ GAMERO #1025 21 DE MAYO # 1243 BORIES # 99 COLON AVENUE # 534 PHONE 247979 247987 226200 223322 244677 228200 242134 248220 248840 247532 FAX 247979 241149 226200 223322 247545 248124 242134 248220 248832 247532 SINGLE $ 40.$ 45.$ 60.$ 60.$ 65.$ 70.$ 70.$ 70.$ 78.$ 40.DOUBLE $ 60.$ 60.$ 65.$ 65.$ 75.$ 95.$ 80.$ 80.$ 90.$ 50.TRIPLE $ 70.$ 70.$ 85.$ 85.$ 95.$105 $ 100.$ 110.$ 100.$ 60.SUITE --------------$ 100.$ 100.$ 130.$ 137.$ 100.-------$ 135.- $ 175. --------
BOLIVIANA # 366
242411
--------
$ 7 PER PERSON W/BREAKFAST
NOTES: 1. THE ABOVE PRICES ARE SPECIALLY RATED FOR AGUNSA'S PASSENGERS. 2. THESE PRICES DO NOT INCLUDED 18% CHILEAN TAX 3. PRICES RUN FROM JAN/01 TO JUN/01 NOTE: ALL RATES SUBJECT TO CHANGE RPSC Form PA-A-100b, Deployment Specialist Group, Revision #0 24 January 2001, All Locations, Approved by Lynn Dormand