Individual Traveler Profile
Salutation:
choose one
Mr.
Mrs.
Miss.
Other
First name:
Last name:
Company Name:
Title:
Office Phone:
Office Fax:
Business email:
Seconndary email:
Home Phone:
Cell Phone:
Home Address:
City:
State:
Zip Code:
Date of Birth:
AIRLINE INFORMATION:
SEATING PREFERENCE:
chose one
Aisle
Window
none
Exit Row Qualified?
Yes
No
Special services Required?
FREQUENT FLYER INFORMATION
Airline:
Frequent Flyer#
Airline:
Frequent Flyer#
Airline:
Frequent Flyer#
Airline:
Frequent Flyer#
Airline:
Frequent Flyer#
Preferred Airline:
CAR RENTAL PREFERENCES:
Size preference:
Sub-compact
Compact
Intermediate
Luxury
SUV
Minivan
Car Rental account numbers:
Car Company #1:
ID#
Car Company #2:
ID#
Car Company #3:
ID#
Car Company #4:
ID#
HOTEL PREFERENCES
Smoking or Non-Smoking Room:
Non-Smoking
Smoking
Either
Bedding preference:
choose one
single
double
2 doubles
queen
king
AAA Member Number:
AARP Member Number:
Over 50?
yes
no
Company account numbers:
Hotel Name:
ID#
Hotel Name:
ID#
Hotel Name:
ID#
Hotel Name:
ID#
LEISURE TRAVEL
I would like to be on your leisure
travel mailing list!
yes
no
Email address to use:
General Comments &
Additional Information
