IT and T Corporate Profile Card



ITandT BTS Corporate Profile CardUse the Tab key to move from entry area to entry area. Click in a selection box to mark it.If an "arrow" appears to the right of the highlighted area, click it to use the drop down menu.TSA Secure Flight Guidelines require your full name as shown on your non-expired government issued Photo ID, gender, and date of birth for airline tickets. (*As shown on your non-expired government issued Photo ID)First Name*: FORMTEXT ?????Gender: FORMTEXT Middle Name*: FORMTEXT ?????Date of Birth: FORMDROPDOWN / FORMTEXT ?? / FORMTEXT ????Last Name:*: FORMTEXT ?????Company Name: FORMTEXT ?????Department: FORMTEXT ?????Title: FORMTEXT ?????Cell Phone Number: FORMTEXT ?????Business Phone: FORMTEXT ????? Preferred Airport: FORMTEXT ?????E-mail Address: FORMTEXT ????? Emergency Contact Name: FORMTEXT ?????Assistant's Name: FORMTEXT ????? Emergency Contact Phone: FORMTEXT ?????Assistant’s Phone: FORMTEXT ?????Assistant’s E-mail: FORMTEXT ?????CREDIT CARD INFORMATIONCard Type: FORMDROPDOWN FORMTEXT ?????Exp. Date: FORMDROPDOWN FORMDROPDOWN FORMCHECKBOX Personal FORMCHECKBOX CorporateCVV Number for Air Billing credit cards: FORMTEXT ?????Credit Card to be used to guarantee Hotel Reservations if different from above.Card Type: FORMDROPDOWN FORMTEXT ?????Exp. Date: FORMDROPDOWN FORMDROPDOWN FORMCHECKBOX Personal FORMCHECKBOX CorporateCVV Number For Hotel Guarantee: FORMTEXT ?????HOTEL PREFERENCESRoom Type: FORMDROPDOWN FORMTEXT ?????HOTEL CLUB MEMBERSHIP NUMBERS:Marriott: FORMTEXT ?????Radisson FORMTEXT ?????Hilton: FORMTEXT ?????Westin: FORMTEXT ?????Hyatt: FORMTEXT ?????Comfort Inn: FORMTEXT ?????Sheraton: FORMTEXT ?????Other: FORMTEXT ?????Holiday Inn: FORMTEXT ?????Other: FORMTEXT ?????Ramada: FORMTEXT ?????Other: FORMTEXT ?????SPECIAL PREFERENCES: FORMCHECKBOX Non-Smoking FORMCHECKBOX SmokingMedical or Special Needs: FORMTEXT ?????AAA Membership: FORMTEXT ?????AIRLINE PREFERENCESSEATING PREFERENCE: FORMCHECKBOX Aisle FORMCHECKBOX WindowALTERNATE CHOICE: FORMCHECKBOX Aisle FORMCHECKBOX WindowAIRLINE FREQUENT FLYER NUMBERS: Preferred Departure Airport: FORMTEXT ?????American ID FORMTEXT ?????US AirID FORMTEXT ????? British AirID FORMTEXT ?????Continental ID FORMTEXT ?????Southwest ID FORMTEXT ????? Airline FORMTEXT ?????ID FORMTEXT ?????Delta ID FORMTEXT ?????Alaska ID FORMTEXT ????? Airline FORMTEXT ?????ID FORMTEXT ?????United ID FORMTEXT ?????Jet Blue ID FORMTEXT ????? Airline FORMTEXT ?????ID FORMTEXT ?????DIETARY/SPECIAL REQUIREMENTS: FORMCHECKBOX Low Sodium FORMCHECKBOX Diabetic FORMCHECKBOX Vegetarian FORMCHECKBOX Other FORMTEXT ?????Medical or Special Needs: FORMTEXT ?????TSA DATA:TSA Pre?? ?: FORMTEXT ?????Global Entry Number: FORMTEXT ?????Redress Control Number: FORMTEXT ?????Nexus Number: FORMTEXT ?????Sentry Number: FORMTEXT ?????INTERNATIONAL TRAVEL INFORMATION:Name exactly as it appears on your passport: FORMTEXT ?????Passport Number: FORMTEXT ?????Expiration Date: FORMTEXT ?????Issuing Country: FORMTEXT ?????Nationality country: FORMTEXT ?????Place of Birth: FORMTEXT ?????Date of Birth: FORMDROPDOWN / FORMTEXT ????? / FORMTEXT ?????CAR RENTAL PREFERENCESSIZE: FORMCHECKBOX Full FORMCHECKBOX Midsize FORMCHECKBOX Compact FORMCHECKBOX Other FORMTEXT ?????CAR RENTAL MEMBERSHIP NUMBERS:Hertz #1: FORMTEXT ?????Other: FORMTEXT ?????Avis Wizard: FORMTEXT ?????Other: FORMTEXT ?????National Emerald: FORMTEXT ?????Other: FORMTEXT ?????Budget Super Rez: FORMTEXT ?????Other: FORMTEXT ?????Enterprise: FORMTEXT ?????Other: FORMTEXT ?????Special Requests: FORMTEXT ?????PERSONAL TRAVELHome Address: FORMTEXT ????? FORMTEXT ?????City FORMTEXT ?????State: FORMTEXT ?????ZIP: FORMTEXT ?????Home Phone:( FORMTEXT ???) FORMTEXT ???- FORMTEXT ?????Spouse’s Name (as shown on gov't issued photo ID to be presented at airport): FORMTEXT ?????Spouse's Date of Birth: FORMTEXT ?? / FORMTEXT ?? / FORMTEXT ????Seating Preference: FORMCHECKBOX Aisle FORMCHECKBOX WindowChildren:NameDate of Birth FORMTEXT ????? FORMTEXT ?? / FORMTEXT ?? / FORMTEXT ???? FORMTEXT ????? FORMTEXT ?? / FORMTEXT ?? / FORMTEXT ????AUTHORIZATIONTHE TRAVELER AND/OR CLIENT, HEREBY AUTHORIZES ITandT BTS TO CHARGE TO THE CREDIT CARD AS INDICATED ON THIS FORM, ANY BUSINESS TRAVEL TRANSACTIONS REQUESTED BY THE TRAVELER OR HIS OR HER AUTHORIZED REPRESENTATIVE VIA TELEPHONE, LETTER, FAX, OR E-MAIL?WHILE THE ACCOUNT IS IN EFFECT.? THE TRAVELER ALSO HEREBY AUTHORIZES ITANDT TO CHARGE HIS OR HER CREDIT CARD AS INDICATED ON THIS FORM, ANY PERSONAL TRANSACTIONS REQUESTED BY THE AUTHORIZED REPRESENTATIVE VIA TELEPHONE, LETTER, FAX OR E-MAIL.? ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download