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All about YOU!
In order to provide you with the fastest and most accurate service, we need to know a bit about your unique travel preferences. The form below will tell us how you like to travel--your preferred airline, seating accommodations, special requests, car rentals and lodging requirements. So, come on--tell us all about YOU!
About You...
     Categories in *red are required to submit form.
  Note: Legal name as it appears on your passport and/or driver's license.
*Last Name:
*First Name:
*FULL Middle Name::
*Company:
*Address  
Title:
DSU#, DIV#,
ACCT#, or DEPT#:
Business phone:
Fax:
E-mail:
Where you would like your ticket confirmation to go
Alternate E-mail
Home phone:
Cell Phone:
Home address:
Home city:
Home state:
Home zip:
Reservation contact:
Contact phone:
Passport number:
Expiration Date:
Citizenship:
*Gender  
*Date of Birth :
Day    Month   Year      
 
Airline Information...

Seat preference:

 None Window Aisle
Special requests (i.e. meals, etc.):
Frequent traveler membership numbers:
American:
Northwest:
United:
Continental:
USAir:
Delta:
Other:
Credit card for airline tickets:

Expiration date:
Car Rental Information...
Company Preference:

Type Preference:

 None Economy Intermediate Full Size
Other:

Special Requests:
Frequent renter membership numbers:
Avis:
Hertz:
Budget:
National:
Other:
Hotel Information...

Special requests:

Smoking Preference:

 None Smoking Non-smoking
Frequent traveler membership numbers:
Courtyard:
Hilton:
Hyatt:
Holiday Inn:
InterContinental:
Marriott:
Radisson:
Ramada:
Sheraton:
Westin:
Other:
Credit Card to Guarantee Hotels:
Expiration date:
Association Membership Numbers:
(i.e. American Bar, American Medical, etc.)
Newsletters...

Please send me the following newsletters:

 Business News & Notes - a bi-weekly newsletter with the latest news on fare sales and business travel.

Travel Club - A bi-weekly newsletter with savings on select cruises and tours.
Please send via:

Fax (fax # is included at top of form)

E-mail (e-mail address is included at top of form)
     

 

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