EWA Traveler Profile Form  Please note that upon full implementation of the Federal Government's Secure Flight program, each passenger (or travel agent) will be required to provide the following information to TSA when making a flight reservation: Passengers Full Name (as shown on state or government issued identification documents such as a State ID Card, Drivers License or Passport). Date of Birth Gender Redress Number (if available) Known Traveler Number (program has not yet been defined) Please answer the above questions and all other questions to assist EWA to perform your travel reservations. If we already have your Traveler Profile, please update as needed. Do not press enter until you have completed the form.

Full Name as it appears on passport/government issued ID		Title		Department or Cost Center Number
Date of Birth		Gender
Redress Number (if available)
Known Traveler Number (program not yet implemented)
Company
Company Address
Office Phone		Cell Phone
E-mail		Fax Number
Home address
Home phone
Citizenship
Passport Number

Flight Preferences

Class of domestic service	non-refundable coach excursion full coach business class first class
Class of international service	non-refundable coach excursion full coach business class first class
Seating preference	aisle window
If preferred seating unavailable I will accept:	window aisle center call me to book another flight
Meals	standard Kosher seafood vegetarian diabetic fruit low calorie low cholest. low sodium no salt
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 premium luxury full standard - 4 dr standard - 2 dr intermediate compact economy other 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 tourist first class deluxe Room type twin double queen king club suite   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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