UNIGLOBE at Best Travel, Inc
Phone (973) 601-1040 / Fax (973) 601-1170
Personal Profile (Please print or type)
Name: Mr./Ms. ________________________________________ Company Name ________________________________________
Title ________________________
Office Address ______________________________________________________ Zip _______________ Office Phone (____) _____________ Office Fax (____) _____________ Cellular (____) _____________ Home Address _______________________________________________________ Zip ______________ Home Phone (____) _______________ E-Mail Address _____________________________
Preferred Method of Email – (i.e. – HTML, Plain Text, other) _________________________________ Secretary’s Name ___________________ Phone (___) ___________ Email _______________________ Names and email addresses where to forward additional copies of your travel itineraries (if any): Name ____________________________ Name ____________________________ Email __________________________ Email __________________________
International Travelers - Please Complete: Passport No. ________________________ Expiration Date ________________________ Citizenship _________________________
Travel Preferences
Seating Preference: ____ Aisle ____ Window ____ Smoking ___ Non-Smoking
Are bulkhead/exit rows acceptable: ___ Yes ___ No If so, are they preferred: ___ Yes ___ No Preferred Departure Airport: Special Menu Required: ____Kosher ____Vegetarian ____Low Calorie ____Other: ____________________ _________________________________
Airline Memberships
**Carrier ___________ ___________ ___________ ___________ ___________ Frequent Flyer _____________________ _____________________ _____________________ _____________________ _____________________ **Carrier __________ __________ __________ __________ __________ Frequent Flyer _____________________ _____________________ _____________________ _____________________ _____________________
**Please indicate if you have preferred status with any airline (i.e. – Platinum, Gold, Elite, etc.) Indicate whether we should request upgrades using this status.
Hotel Memberships
Hotel Chain ________________________________ ________________________________ ________________________________ Membership Number ___________________________________ ___________________________________ ___________________________________
Special Requests (i.e., nonsmoking, low floor) ___________________________
Car Rental Memberships
Car Rental Company ________________________________ ________________________________ ________________________________ Special Requests (i.e., nonsmoking) Membership Number _______________________________________________ _______________________________________________ _______________________________________________ ___________________________
*Car rental agreements vary. Please indicate whether you are under 25 years old? ___Yes ___No
Billing Information
Card Name __________
____________
Card Number _______________________________________
_________________________________________________
Exp. Date ____________ (Corporate)
_______________
(Personal)
I hereby authorize UNIGLOBE at Best Travel to charge any of my credit card accounts listed above for applicable travel costs incurred by me or any person designated by me. ____________________________________ Traveler Name (print) __________________________________________ Traveler Signature
Please take a moment and fill out our Vacation Travel Survey on the next page if you would like to earn perks on your leisure travel and to be placed on our distribution list. Thank you! *
UNIGLOBE at Best Travel, Inc
www.uniglobeatbesttravel.com
Name(s) ______________________________________________________________ Address _____________________________________ State ______ Zip ___________ Phone ____________________ Fax _____________ Email ______________________ Do you have a date or destination in mind? ___________________________________ Length of stay ______________ Are you flexible with your dates? ________________ Is this vacation in celebration of a special occasion? ____No ___Honeymoon ____Anniversary ____Birthday ____Divorce ____Other (specify) Who will be traveling with you? _____________________________________________ If any travelers are children or senior citizen, please specify ages. __________________ What budget type best describes your usual vacation? ___ Economy ___Moderate ___First Class When are you most likely to go on vacation? ___Spring ___Summer ___Fall ___Winter
___Deluxe
___Last Minute
If no date or destination in mind, which of the following types of “styles or interests” best describe your vacation preferences (check all that apply): __Cruise __Touring __All inclusive resort __Gambling __Beach __Spa/Health Clubs __Golf __Scuba/Snorkeling __ Skiing __Special Interest (specify)_________________ Would you like us to email or mail you specials relating to the above interests or vacation requests? ____YES (specify how you would prefer to receive specials) ______________ ____ NO What is the best time to contact you to discuss your vacation plans? _________________ Comments/Request for information ___________________________________________ ___________________________________________