Travel Profile

TRAVELER'S PROFILE

The information requested below is needed so that A&I Travel Service can provide you efficient, personalized service. This information will be entered into our computer so that when you or your representative calls A&I, your preferences will be retrieved automatically.

Corporate Information
All information is confidential and for internal use only.

This is a new profile
This is a change to an existing profile.

*Required Field

First Name*:
(as it appears on your driver's license and/or passport)

Last Name*:
(as it appears on your driver's license and/or passport)

Company*:

Company ID's:
(Dept., Div., Cost Center, Etc.)
Please Specify

Name you go by if different from your legal name:

Your work phone:

Do you have an assistant*:

Assistants name:

Assistants phone:

Assistants e-mail:

Your home phone:

Your cell/pager:

Delivery address: (if applicable for occasional paper tickets)

Street Address

City/Town

State or Province
(if outside USA)

Postal Code

Country

Credit card for airline purchases:
Include credit card type, number and expiration

Credit Card Type

Account Number

Expiration

CID# or security code:
On Amex it is a 4 digit number on the front of the credit card. On all other cards it is a 3 digit number on the back of the credit card.

CID# or security code

AIRLINE MEMBERSHIPS

Seating Preference:

Airline	Frequent flyer account number	EXACT name on account	Status
Northwest
Continental
Delta
United
American
USAIR
SouthWest
Other

CAR COMPANIES & CLUB MEMBERSHIPS

Preferred car size:

Preferred car rental company:

Car company or club name, membership number & status:

HOTEL CLUBS & MEMBERSHIP NUMBERS

Hotel Brand:

Hotel or club name & membership number & status:

Are you a AAA member?

Yes No

Are you a member of any other organization that would entitle you to travel discounts? If so, please list.

Credit card for hotel guarantee:
Include credit card type, number and expiration

Account Number

Expiration

CID# or security code:
On Amex it is a 4 digit number on the front of the credit card. On all other cards it is a 3 digit number on the back of the credit card.

CID# or security code

Your job title:

Date of birth:

Home address:

Street Address

City or Province

State Postal Code

Country

Emergency contact person name:

Relationship:

Phone:

Name as it appears on your passport:

Passport number:

Passport expiration date:

City passport issued In: (info. inside your passport)

Citizenship:

Fax:

Email*: Please use your business email address. If you do not have a business email please enter your personal email address.

PERSONAL PREFERENCES

Special Meal Preferences