Traveler Profile Form

                                           Vacation and Destination Information

Dear Valued Client,

In order to expedite your travel requests and provide more efficient and personalized service, please

complete this profile form and return to me.  ALL INFORMATION WILL REMAIN STRICTLY

CONFIDENTIAL. Thank you for letting R Francis Travel Pro to be of service.

 

Trip Description :_________________________________________________________________________

 

                                                           PERSONAL DATA

 

Traveler's Name(s):   ____________________________________________________

 

Authorizing Individual:   __________________________________________________________________

 

Home Address:   _______________________________________________________________________

 

City/State/Zip: _________________________________________________________________________

 

Phone/Work: (_______)__________________________   Fax: (________)_________________________

 

Phone/Home: (_______)______________________    Fax: (________)___________________________

 

E-mail:  ___________________________________________   Cell: (_______)_____________________

 

Company Name:   ____________________________  Address: ________________________________

 

Please e-mail rfrancistravelpro@msn.com if you need destination information.

 

                                                      AIRLINE TRAVEL INFORMATION

 

                                                     Aisle: _______     Window: _______

Specialty Meals:  Specify - Low Fat, Kosher, etc.____________________________________________

Frequent Flier Membership (Please Indicate Membership Numbers)

American # ____________________  TWA # ____________________  Delta# ____________________

Continental# ___________________  United# ____________________  USAir#____________________

Northwest# ____________________  Other (Specify)# __________________________

Please e-mail rfrancistravelpro@msn.com if you need destination information.

 

                    CONTACT REBECCA FRANCIS AT 202-726-2684 IF YOU HAVE ANY QUESTIONS.

 

                                 PLEASE FAX THIS COMPLETED FORM TO:  202-726-7188

 

              OR MAIL TO: R Francis Travel Pro  4625 13th Street, NW, #304, Washington, DC  20011

 

 

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