Travel Center Tours
141 West Jackson Blvd
Board of Trade West Lobby
Chicago, IL 60604
312.341.0640 - 800.964.3565

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Client Profile Sheet

We value our customers' time. We have provided a Profile sheet which will better assist us in providing you with the superior service that you expect and ensure expedience in your travel planning. Please complete this form so that we can provide you with the most accurate and efficient service possible.

We respect your privacy, therefore all information is kept strictly confidential. We do not share any information with third parties.

*Gray fields are mandatory fields that must be completed*

Company Information:

Company:
First Name:
Middle Name:
Last Name:
Title:
Department:
Company Address:
Company City:
Company State:
Company Zip:
Company Phone:
Company Fax:
E-mail Address:
Assistant's Name:
Assistant's Phone:

Personal Information:

Home Address:
Home City:
Home State:
Home Zip:
Home Phone:
Home Fax:
Personal Email Address:

Passport Information:

Name as it appears on Passport:

Passport Number:

Issue Date:

Expiration Date:

Place of Issuance

Date of Birth:

Airline Preference:

American Advantage:			United Mileage Plus:
Delta Skymiles:			Continental One Pass:
US Divend Rewards:			BA Executive Club:
Lufthansa Miles and More:			Air France Flying Blue:
Southwest Rapid Rewards:			Air Tran A+ Rewards:
Jetblue TrueBlue:			Other:
Other:			Other:
Airline Seat Selection:

Rental Car Preferences:

Avis:		Hertz:
National:		Budget:
Alamo:		Thrifty:
Dollar:		Enterprise:
Other:		Other:

Hotel Membership:

Name:		Number:

Family Information:

Name Relation Birth Date Passport Number Frequent Flyer Numbers

Form of Payment:

Card Type Account Type Account Number Exp. Date CID #

Interests:

Travel Center Tours also has an extensive leisure department. Are you interested in receiving information from our leisure department?

Yes, I am interested in receiving information on leisure travel from Travel Center Tours.

No, thank you.

If so, so that we may get to know your interest and travel needs, kindly complete the following:

Other Interests:

For and in consideration of the services performed by Travel Center Tours on my behalf and for my benefit, I hereby authorize employees of Travel Center Tours to issue airline tickets, guarantee hotel reservations, and bill one of the above credit cards for all charges for such air, land, or sea travel arrangements requested for or by myself, and I hereby indemnify Travel Center Tours against any credit card chargebacks due to lack of my signature or credit card imprint on the charge slip. I hereby assume responsibility for these charges. This agreement will exist until I notify Travel Center Tours of any change(s) in writing. This agreement will allow my current valid credit card to be replaced by a subsequent card when my current card becomes invalid because of expiration date.

I agree with the terms and conditions in the paragraph above.

Contact Us \| Privacy Policy	Travel Center Tours 141 West Jackson Blvd Board of Trade West Lobby Chicago, IL 60604 312.341.0640 - 800.964.3565	© 2009 Travel Center Tours

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