Deva Travel Frequent Traveler Profile
So that DEVA Travel could advise airlines, car and
hotel companies of your travel preferences and membership numbers.
It is recommended that you complete this form.
You only need to complete this form once, or every
time your information change.
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| Personal
Contact Information
|
|
Name :
(first, middle, last name)
|
*
Required |
|
Home Address :
|
*
Required |
|
Address Line 2 :
|
|
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City or Town :
|
*
Required |
|
State/Province :
|
*
Required |
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Zip/Postal Code :
|
*
Required |
|
Phone :
|
*
Required |
|
Fax :
|
|
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Email :
|
*
Required |
| Company
Information |
| Company Name : |
|
| Title : |
|
| Address : |
|
| City or Town : |
|
| State/Province : |
|
| Zip/Postal Code: |
|
| Phone : |
Ext.
|
| Secretary : |
|
| Fax : |
|
| Approximate number of trips :
|
| Department : |
|
| Per Year : |
|
|
Credit Card Information
|
| All
business tickets should be charged to the following credit
card: |
| Card User Name : |
|
| Card Number : |
|
| Card Type : |
|
| Expiration Date : |
-
-
month/date/year |
| All hotels
should be guaranteed to the following credit card: |
| Card User Name : |
|
| Card Number : |
|
| Card Type : |
|
| Expiration Date : |
-
-
month/date/year |
| All personal
travel should be charged to the following card: |
| Card User Name : |
|
| Card Number : |
|
| Card Type : |
|
| Expiration Date : |
-
-
month/date/year |
By submitting this form, I authorize the above charges to
my credit card(s) for requested travel:
|
| Name : |
|
| Date : |
Saturday, September 04, 2010 |
| Airline Information |
| FREQUENT FLYER NUMBERS: Please
indicate your membership number and current status, and select your
seating preference: |
| American #: |
|
| Continental#: |
|
| Delta#: |
|
| Northwest#: |
|
| TWA#: |
|
| United #: |
|
| USAir #: |
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| Other #: |
|
Seating Preference:
Smoking
Non-Smoking
Aisle
Window |
Meals:
Low-Sodium
Vegetarian
Low-Calorie
Kosher (Beef/Chicken)
Other:
|
| Car Rental Information |
Prefered car vendors:
Enter in order of preference: (Alamo,
Avis, Budget, Dollar, Hertz, National, Thrifty, Other)
|
| Hotel Information |
| Please list your hotel chains in order of preferences: |
| 1.
Frequent Stay Number:
(if any) |
| 2.
Frequent Stay Number:
(if any) |
| 3.
Frequent Stay Number:
(if any) |
| 4.
Frequent Stay Number:
(if any) |
| 5.
Frequent Stay Number:
(if any) |
Room Preference :
Single
Double Queen
King
Junior Suite
Suite
Smoking
Non-Smoking |
| Addition Information |
Please note any additional information we should be
aware of regarding your travel requirements:
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| |
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