z 




Marine & Seaman
For Marine Professionals


Why use a Travel Agent?
Generations of Travel
AMEX Rep Excellence Winner

Confidential Traveler Profile

Completing a traveler profile highlights your specific travel needs and helps us serve you better. All information considered confidential.


1. PREFERRED CLIENT INFORMATION


Send to:


Email address of Traveler:

 

Passenger Name:
MR. MS. MRS.
(last, first, middle initial)
Title:
Company Name:
Street Address:
City:
State:
     Zip Code:
Office Telephone:
     Ext:
Office FAX:
Office Email:
Department Name:
Department #:
     Employee #:
   
Assistant's Name:
Assistant Phone:
    Ext:
Passenger's Home Address:
City:
State:
     Zip Code:
Home Telephone:
Cell Phone:
Home Email:
Emergency Contact Name:
Emergency Contact Phone Number:
Emergency Contact Email:
BirthDate MM/DD/YYYY:
TSA Known Traveler Number:
Global Entry Number:
 
2. PERSONAL PREFERENCES
 
I am authorized to fly:
Coach First Class Business
 
International (specify):
 
Special Services Required?
No
Yes (specify):
Seating Preference:
 
 
Aisle       Window
   
 
3. CAR RENTAL PREFERENCE OF YOUR COMPANY
 
Avis Wizard
#:
Hertz Number 1
#:
Budget Express
#:
National Emerald
#:
Other (specify):
#:
Economy Compact Intermediate Standard
Luxury      Other (specify):
   
4. HOTEL PREFERENCE OF YOUR COMPANY
   
Starwood
#:
Hilton
#:
Marriott
#:
Holiday Inn
#:
Radisson
#:
Other (specify):
#
   
Other (specify):
#
   
Other (specify):
#
   
Many of our travelers have definite hotel preferences in certain cities. If you wish, please list yours below.
City:      Hotel:
City:      Hotel:
City:      Hotel:
 
5. HEALTH / DIET REQUIREMENTS
 
Diabetic Low Calorie Low Cholesterol Salt Free
Vegetarian     Other:
 
6. FREQUENT FLYER INFORMATION
Please note frequent flyer status with each airline, i.e., Platinum, Gold, Medallion, etc.
Delta
#: Status
British Airways
#: Status
American
#: Status
US Air
#: Status
Southwest
#: Status
JetBlue
#: Status
United
#: Status
Air Canada
#: Status
Virgin
#: Status
Airline:
  FF#: Status:
Airline:
  FF#: Status:
Airline:
  FF#: Status:
Airline Preference:

Senior citizen discount applies
(62 and over)?

Yes No

A.A.R.P. #

A.A.A. #

 
7. INTERNATIONAL TRAVEL INFORMATION
Visas Currently Held:
Country:      Exp. Date
Country:      Exp. Date
Country:      Exp. Date
Citizen of:
Country:
Place of Birth:
Date of Birth:
Passport #:
Passport Exp. Date:
 
8. LEISURE TRAVEL
 
Yes, I would like to be on your leisure travel mailing list!
         Enter email address to use:
 

 

Contact Information Universal Home Page