PERSONAL VIP CLIENT PROFILE
Passenger Name:
Company Name:
Address:
Address Line 2:
(optional)
City:
State & Zip Code:
(i.e.- GA, 30043)
Phone:
Cell:
Email:
Fax:
PREFERENCES
Frequent Flier Numbers:
Preferred Seating:
(Choose One)
No Preference
Aisle
Bulkead
Window
Exit
Aisle Bulkead
Window Bulkead
Exit Aisle
Exit Window
Delta:
AA:
NW:
OTHER:
CO:
UA:
US:
OTHER:
Hotel Preference:
Non-Smoking
Smoking
Frequent Hotel Guest Numbers:
Preferred Car Rental Companies:
Preferred Car Size:
Compact
Intermediate
Full-Size
SUV
CREDIT CARD INFORMATION & SIGNATURE ON FILE
FOR BUSINESS TRAVEL
FOR PERSONAL TRAVEL
Type of Credit Card:
(Select One)
American Express
Discover
Master Card
Visa
Type of Credit Card:
(Select One)
American Express
Discover
Master Card
Visa
Credit Card Number:
Credit Card Number:
Expiration Date:
(Month)
January
February
March
April
May
June
July
August
September
October
November
December
(Year)
2003
2004
2005
2006
2007
2008
2009
2010
Expiration Date:
(Month)
January
February
March
April
May
June
July
August
September
October
November
December
(Year)
2003
2004
2005
2006
2007
2008
2009
2010
Signature:
____________________________
Today's Date:
_______________
Please use my credit card(s) to guarantee late arrivals when necessary.
Yes
No
I hereby authorize Classic Travel to bill airline tickets to my credit card(s).
Yes
No
Please send via mail to:
Classic Travel
2050 Marconi Drive Suite 115
Alpharetta GA, 30005
Phone:
(770) 650-8600
Fax:
(770) 751-8497
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