CORPORATE TRAVEL MANAGEMENT PROFILE CARD
Last Name___________________________________ First Name______________________________ Middle Initial____
Title____________________________Company_________________________________ Department/ID Code_________
Business Phone_____________________________________ Business Fax _____________________________________
Mobile Phone _____________________________________ Home Phone_______________________________________
Email Address ______________________________________________________________________________________
Credit Card for Air travel ________________________________________________________________ EXP_________
Credit Card for Hotel guarantee if different __________________________________________________ EXP_________
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AIRLINE INFORMATION:
Seat Preferences: Aisle Window Center Special Meal Request: _________________________________
Carrier____________________ Frequent Flyer Number ____________________________ Status___________________
Carrier____________________ Frequent Flyer Number ____________________________ Status___________________
Carrier____________________ Frequent Flyer Number ____________________________ Status___________________
CAR RENTAL INFORMATION:
Car Preference: Compact Mid-Size Full-Size Luxury Smoking Non-smoking
Special Equipment Request____________________________________________________________________________
Car Company_____________________ Club Number_____________________________ Status_____________________
Car Company_____________________ Club Number_____________________________ Status_____________________
Car Company_____________________ Club Number_____________________________ Status_____________________
HOTEL INFORMATION:
Room Preference: King Double Smoking Non-smoking
Additional Room Requirements _________________________________________________________________________
Hotel Chain____________________ Frequent Guest Number___________________________ Status_________________
Hotel Chain____________________ Frequent Guest Number___________________________ Status_________________
Hotel Chain____________________ Frequent Guest Number___________________________ Status_________________
INTERNATIONAL TRAVEL INFORMATION:
Are you a US Citizen? Yes No If No, Country of Citizenship_____________________ Visa #________________
PERSONAL INFORMATION:
Home Street Address__________________________________________________________________________________
City ________________________________________________________ State ________ Zip_______________________
CREDIT CARD AUTHORIZATION:
I hereby authorize $/7285 to charge the credit card(s) listed for travel transactions as requested by myself or my authorized agent.
Cardholder’s Signature _________________________________________________ Date: _______________________
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