MMG Travel @ JourneyCorp

Traveler Profile Data Form

Please complete the information below as completely as possible and return to MMG Travel @ JourneyCorp at

488 Madison Avenue, 3rd Floor, New York, NY 10022 212-339-2958 (fax) Attention: Eric Hrubant or Marie McGregor

LAST NAME

FIRST NAME

MIDDLE INITIAL

Business Info: IMPORTANT

EMAIL

DEPT #

MOBILE

ADDRESS

FLOOR:

CITY:

STATE:

ZIP:

PHONE:

-

-

FAX:

-

-

ASSISTANT:

PHONE:

-

-

Corporate Credit Card (TYPE)

NUMBER:

_____________________________________________________________

EXPIRES:

SIGNATURE (To authorize use of credit card for hotel and/or car guarantees)

Personal Info: IMPORTANT

HOME STREET:

APT:

HOME PHONE:

CITY:

STATE:

ZIP:

SPOUSE:

CITIZENSHIP:

PASSPORT NUMBER:

EXP:

FAVORITE CUISINE:

FAVORITE ACTIVITIES/HOBBIES:

Personal Credit Card: (OPTIONAL)_______________________________________________

VISA

MasterCard

Amer. Express

NUMBER:

_____________________________________________________________

EXPIRES:

SIGNATURE (To authorize use of credit card for requested personal travel)

Airline Info: IMPORTANT

Frequent

BRITISH AIRWAYS:

DELTA

ALASKA AIR

Flyer

VIRGIN ATLANTIC

CONTINENTAL

LUFTHANSA

Numbers

AMERICAN

USAIR

AIR FRANCE

UNITED

NORTHWEST

OTHER:

SEATING PREFERENCES

SPECIAL MEAL PREFERENCE:

WINDOW

AISLE

CONNECTING CITIES PREFERRED:
CONNECTION CITIES TO AVOID:
Hotel Info: IMPORTANT
Frequent	HYATT			HILTON			OTHER:
Guest	STARWOOD			MARRIOT			OTHER:
Numbers	SHERATON:			WESTIN:			OTHER:
ROOM PREFERENCES
OTHER HOTEL PREFERENCES:			SMOKING		NON-SMOKING			KING
			LOW FLOOR		HIGH FLOOR			DOUBLES
Car Rental Info: IMPORTANT
Frequent	AVIS:	BUDGET:				DOLLAR:
Renter	HERTZ:	NATIONAL:				OTHER:
Numbers