Corporate Travel Profile

(Please print this form and fax to 770.396.5684)

***SIGNATURE NECESSARY ON FILE

Name_______________________________________________________________

(as it appears on airline frequent flyer account)

Company_____________________________________   Title___________________

Address_ ___________________________________  Fax Number_______________

City _______________ State _______Zip _________  Business Ph ______________

E-mail __________________________________         Cell Phone  __________________

Home Address_______________________________  Home Ph ________________

City _______________State _______ Zip ________  Spouse’s Name ____________

Airline Information

Class of Service:        Seating           

[ ] Coach [ ] Aisle [ ] Bulkhead [ ] First [ ] Window [ ] Non-bulkhead Special Service ___________

Special Meals ____________

Frequent Flyer Numbers

Delta ____________________ American ___________________

Northwest _________________TWA_______________________

US Air____________________ Continental __________________

United ____________________ Other ______________________

Other _____________________ Other ______________________

Hotel Information

Hotel Chain __________________ __________________

Indiv. ID __________________ __________________

Hotel Chain __________________ __________________

Indiv. ID __________________ __________________

Car Information

Car Company __________________ __________________ __________________ __________________

Corporate ID __________________ __________________ __________________ __________________

Individual ID __________________ __________________ __________________ __________________

Car Size

[ ] Compact [ ] Mid-size [ ] Full-size [ ] Luxury[ ] Other ______________________

Credit Card Information

Airline Travel

CC#   _______________________________________ EXP ______ (Corporate)

CC#  _______________________________________ EXP ______ (Personal)

Hotel Guarantee _____________________________________ EXP ______

Authorized Signature __________________________________________________________

***This signature authorizes Travel South International to use above credit cards for purchasing business or personal travel as specified by traveler or travel planner.