Business Profile
Business Traveler Profile Form
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:
Legal Name
:
Title:
Company
:
Cost Center:
Department:
Business Address:
City
:
State
:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip/Postal Code
:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia/Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Keeling Islands
Colombia
Comoros Islands
Congo Republic
Congo, Democratic Republic of
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kirbati
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles Islands
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Island
Somalia
South Africa
South Korea
South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Wallis and Futuna Islands
Western Sahara
Western Samoa
Yemen Republic
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Please enter telephone numbers without braces () or dashes - (XXXXXXXXXX)
Business Phone
:
Fax:
Mobile/Cell Phone:
E-Mail
:
Secretary/Travel Arranger:
Phone:
NEWSLETTER
Please email the Tips for Trips
Business Newsletter:
Email Address:
AIR TRAVEL PREFERENCES
Aisle:
Window:
Special Diet:
AIRLINE FREQUENT TRAVELER INFORMATION
Airline
ID Number
Status
Aeromexico
Air Canada
Air France
Air Jamaica
Airtran
Alaska Airlines
Alitalia
American
British Airways
British Midlands
Cathay Pacific
China Airlines
Continental
Delta Airlines
Frontier
Iberia
Independence
Japan Airlines
JetBlue
KLM
Korean Airlines
Lufthansa
Qantas
SAS
Southwest
Spirit
United
USAir
Virgin America
Virgin Atlantic
Other
AA Gold
AA Platinum
AA Exec. Platinum
CO Silver Elite
CO Gold Elite
CO Platinum Elite
DL Silver Medallion
DL Gold Medallion
DL Platinum Medallion
NW Silver Elite
NW Gold Elite
NW Platinum Elite
UA Premier
UA Premier Exec.
UA 1K
US Silver Preferred
US Gold Preffered
US Chairman's Preferred
No Status
Aeromexico
Air Canada
Air France
Air Jamaica
Airtran
Alaska Airlines
Alitalia
American
British Airways
British Midlands
Cathay Pacific
China Airlines
Continental
Delta Airlines
Frontier
Iberia
Independence
Japan Airlines
JetBlue
KLM
Korean Airlines
Lufthansa
Qantas
SAS
Southwest
Spirit
United
USAir
Virgin America
Virgin Atlantic
Other
AA Gold
AA Platinum
AA Exec. Platinum
CO Silver Elite
CO Gold Elite
CO Platinum Elite
DL Silver Medallion
DL Gold Medallion
DL Platinum Medallion
NW Silver Elite
NW Gold Elite
NW Platinum Elite
UA Premier
UA Premier Exec.
UA 1K
US Silver Preferred
US Gold Preffered
US Chairman's Preferred
No Status
Aeromexico
Air Canada
Air France
Air Jamaica
Airtran
Alaska Airlines
Alitalia
American
British Airways
British Midlands
Cathay Pacific
China Airlines
Continental
Delta Airlines
Frontier
Iberia
Independence
Japan Airlines
JetBlue
KLM
Korean Airlines
Lufthansa
Qantas
SAS
Southwest
Spirit
United
USAir
Virgin America
Virgin Atlantic
Other
AA Gold
AA Platinum
AA Exec. Platinum
CO Silver Elite
CO Gold Elite
CO Platinum Elite
DL Silver Medallion
DL Gold Medallion
DL Platinum Medallion
NW Silver Elite
NW Gold Elite
NW Platinum Elite
UA Premier
UA Premier Exec.
UA 1K
US Silver Preferred
US Gold Preffered
US Chairman's Preferred
No Status
Aeromexico
Air Canada
Air France
Air Jamaica
Airtran
Alaska Airlines
Alitalia
American
British Airways
British Midlands
Cathay Pacific
China Airlines
Continental
Delta Airlines
Frontier
Iberia
Independence
Japan Airlines
JetBlue
KLM
Korean Airlines
Lufthansa
Qantas
SAS
Southwest
Spirit
United
USAir
Virgin America
Virgin Atlantic
Other
AA Gold
AA Platinum
AA Exec. Platinum
CO Silver Elite
CO Gold Elite
CO Platinum Elite
DL Silver Medallion
DL Gold Medallion
DL Platinum Medallion
NW Silver Elite
NW Gold Elite
NW Platinum Elite
UA Premier
UA Premier Exec.
UA 1K
US Silver Preferred
US Gold Preffered
US Chairman's Preferred
No Status
Aeromexico
Air Canada
Air France
Air Jamaica
Airtran
Alaska Airlines
Alitalia
American
British Airways
British Midlands
Cathay Pacific
China Airlines
Continental
Delta Airlines
Frontier
Iberia
Independence
Japan Airlines
JetBlue
KLM
Korean Airlines
Lufthansa
Qantas
SAS
Southwest
Spirit
United
USAir
Virgin America
Virgin Atlantic
Other
AA Gold
AA Platinum
AA Exec. Platinum
CO Silver Elite
CO Gold Elite
CO Platinum Elite
DL Silver Medallion
DL Gold Medallion
DL Platinum Medallion
NW Silver Elite
NW Gold Elite
NW Platinum Elite
UA Premier
UA Premier Exec.
UA 1K
US Silver Preferred
US Gold Preffered
US Chairman's Preferred
No Status
Company
Other:
Other:
CAR RENTAL INFORMATION
Company
Personal ID
Alamo
Avis
Budget
Dollar
Enterprise
Hertz
National
Thrifty
Alamo
Avis
Budget
Dollar
Enterprise
Hertz
National
Thrifty
Alamo
Avis
Budget
Dollar
Enterprise
Hertz
National
Thrifty
Alamo
Avis
Budget
Dollar
Enterprise
Hertz
National
Thrifty
Company
Other:
Other:
Car Size/Type:
Compact
Intermediate
Full Size
Mini Van
Convertable
SUV
Other
Special Requests:
HOTEL INFORMATION
Company
Personal ID
Best Western
Country Suites
Fairmont
Hilton Honors
Holiday Inn
Hyatt
Intercontinental
Marriott Rewards
Radisson
Six Continents
Starwood
Wyndham Rewards
Best Western
Country Suites
Fairmont
Hilton Honors
Holiday Inn
Hyatt
Intercontinental
Marriott Rewards
Radisson
Six Continents
Starwood
Wyndham Rewards
Best Western
Country Suites
Fairmont
Hilton Honors
Holiday Inn
Hyatt
Intercontinental
Marriott Rewards
Radisson
Six Continents
Starwood
Wyndham Rewards
Best Western
Country Suites
Fairmont
Hilton Honors
Holiday Inn
Hyatt
Intercontinental
Marriott Rewards
Radisson
Six Continents
Starwood
Wyndham Rewards
Company
Other:
Other:
Room Type:
Special Requests:
PASSPORT INFORMATION
Name Shown on Passport:
Country:
Expires: (DD/MM/YYYY)
Passport Number:
Secretary/travel arranger
TSA REQUIRED FIELDS
Legal Name (as it appears on Passport:)
Gender:
Male:
Female:
Date of Birth:
CREDIT CARD INFORMATION
Credit Card Type:
Air Travel Card
American Express
Discover
Mastercard
Visa
Name as Shown on Credit Card:
Credit Card Number for Corporate Travel:
Credit Card Expiration Date: (MM/YYYY)
Security Code (3 or 4 digits on back of card):
Billing Address is -
Home
Office
Note:
This form resides on a secure, encrypted server and any information that you enter is kept entirely confidential.
PERSONAL TRAVEL INFORMATION
Home Address:
City
:
State
:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip/Postal Code
:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia/Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Keeling Islands
Colombia
Comoros Islands
Congo Republic
Congo, Democratic Republic of
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kirbati
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles Islands
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Island
Somalia
South Africa
South Korea
South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Wallis and Futuna Islands
Western Sahara
Western Samoa
Yemen Republic
Yugoslavia
Zaire
Zambia
Zimbabwe
*
Please enter telephone numbers without braces () or dashes - (XXXXXXXXXX)
Home Phone:
Home Fax:
Emergency Contact:
Relationship:
Emergency Contact Telephone Number:
Credit Card Type:
Air Travel Card
American Express
Discover
Mastercard
Visa
Credit Card Number for Personal Travel:
Expiration Date: (MM/YYYY)
Security Code (3 or 4 digits on back of card):
Billing Address is -
Home
Office
VACATION SPECIALS
I would like to receive travel and vacation specials:
Mail
Email:
Email Address:
By submitting this form you are authorizing Hobson Travel to use this information and credit card number for your travel arrangements. All information will be regarded as confidential and will be used only by Hobson Travel. I personally guarantee payment of the amounts incurred in travel arrangements made through Hobson Travel should the credit card or other payment methods utilized fail to pay Hobson Travel in full. By submitting this information via electronic form, you have read and agree to our
terms of service
.
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