EWA Traveler Profile Form 

Complete to add a new profile with EWA or to update existing profile. (Note: do not press enter until you have completed the form)

Traveler Title       

Department or Cost Center Number   

Company
Company Address
Office Phone Cell Phone

Fax Number          

E-mail
Home address
Home phone
Citizenship
Passport Number

Flight Preferences

Class of domestic service
Class of international service
Seating preference
If preferred seating unavailable I will accept:
Meals
Non-smoking Smoking (selected int'l flights)

Credit Card Data In accordance with my company policy, my airline reservations are to be charged to the following:

Name on card Card vendor
Card account # Expiration date

Hotel guarantees to be charged to

Name on card Card vendor
Card account # Expiration date

Personal travel to be charged to:

Name on card Card vendor
Card account # Expiration date

Frequent Flyer Membership (provide exact name on card)

UA Name Number Level
NW Name Number Level
AA Name Number Level
Delta Name Number Level
USAir Name Number Level
CO Name Number Level
BA Name Number Level
Other: Name Number Level
If other, please specify airline

Car Rental Preferences  Type Make/Model preference (List in first column order of preference)

Avis/Wizard Number
Budget/Super Res Number
Hertz/Number 1 Number
National/Emerald Club Number

Hotel Preferences   Hotel type Room type  Non-smoking Smoking (not always available)

Preferred hotel chains in order of preference and club membership numbers
1. #
2. #
3. #

Special Requests

Note: This is a secure form with a security certificate. 

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