Protravel International Inc.,   Confidential Client Profile

Please print this form and fax back to the office handling your account.   Please provide the following contact information:

 
Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL
Airlines        Preferred Airline                                     Mileage Number


Hotels  Preferred Hotel                                                       Account Number


Non-smoking__     Smoking__    King__    Queen__   Business Center__   Special Requests________________________________________________________

Cars      Preferred Car Company                                            Account Number


Car Size    Luxury__      Full__     Mid-size__     Compact__    Sub-compact__

Credit Card Information  Card                   Card Number                                                           Expiration Date

Business

Personal

I hereby authorize Protravel International to charge the above listed credit cards for all of my travel reservations including guaranteed hotel reservations for late check in.

 Signature:                                                                                          Date:

  Select Office 
Protravel International
Copyright © 2002 All rights reserved. 
Revised: 01/14/05