Please fill out this customer profile form.
In order to serve your travel request better, we would like to know
more about you and your special needs. Please complete
this form and send or fax to us. The information will be stored
in our computer for easy and efficient access.
TRAVEL AGENT |
|
TRAVELER INFORMATION |
|
|
| *Traveler Name |
|
|
|
Home Address
City, State
Zip |
|
Business Address
City, State
Zip |
|
| *Home Phone |
|
|
|
| Home Fax |
|
|
|
| Credit Card No./ Exp. Date |
|
|
|
|
* Required information. |
|
|
|
|
|
|
|
AIRLINE INFORMATION |
|
|
| Airline 1 |
|
|
|
| Airline 2 |
|
|
|
| Seat Preference |
|
|
|
| Preferred Class of Service |
|
| Special Meal Request |
|
| Preferred Ticket Delivery Method |
|
|
|
|
|
|
|
|
|
RENTAL CAR |
|
| Agency |
|
|
|
| Car Type |
|
|
|
|
|
|
|
|
HOTEL |
|
| Hotel |
|
|
|
Smoking
Non-Smoking |
|
|
|
| Comments, Special Requests |
|
|
|
|
|
