Personal Preference Profile
Smoking
Non Smoking
Full Size
Mid Size
Compact
Personal ID#
Name on Card
Frequent Flyer#
Name
Address
City
State
Zip
DOB
Passport#
Home Tel#
Cell#
E-Mail
Company
Title
Tel No.
Address
City
State
Zip
Preferred Airlines
Preferred Car Rental
Preferred Hotel
Personal ID#
Seating Preference
Window
Aisle
Credit Card Information
Last 4 digits of card
Visa
MC
Amex
DS
Additional Remarks
(Be specific)
The information given on this form shall be considered strictly confidential and will be used for the sole purpose of servicing your transportation requests. Every effort will be made to comply with the preferences shown if practical and permissible within the company policies and practices. I authorize the company's designated travel agency to use my credit accounts listed for travel and travel related services
.