STRONG

							         STRONG
                                                             8214 Westchester Dr. #670
         TRAVEL SERVICES                                     Dallas, Texas 75225
                                                             214.361.0027 -phone
                                                             214.361.0139 -fax
                                                             www.strongtravel.com
                                                             info@strongtravel.com
                                                                   ASTA Member

Traveler Profile


Travelers Legal Name: ___________________________________________________

Date of Birth:      ______________________________________________________

Company Name:       ______________________________________________________

Billing Address:    ______________________________________________________

Delivery Address:   ______________________________________________________
 (if different)
Company Phone:      _________________________________________ Ext. _________

Company Fax:        ______________________________________________________

E-Mail Address:     _______________________________________________________

Cell Phone          _______________________________________________________

Home Phone:         _______________________________________________________

Assistant’s Name: _______________________________________________________

Assistant’s Phone: _________________________________________ Ext. __________

Assistant’s E-Mail: _______________________________________________________

AIRLINE PREFERENCES:
     Advance Seating: ______________ Aisle   Exit Row Qualified: Y / N
                       ______________ Window
Special Instructions:    (special meals, airline preferences, etc.)


AIRLINE MILEAGE INFORMATION:

Airline           Membership Number       Exact Name as Appears on Card
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
CAR RENTAL PREFERENCES:

____ Sub Compact ___ Compact ____Mid-size ____ Full-size ____ Luxury

Rental Car Company            Program ID Number       Corporate ID Number
________________________________________________________________________
________________________________________________________________________

HOTEL PREFERENCES:
Preferred Hotel Program ID Number Corporate Rate Number                    ROOM TYPE

________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________

PASSPORT INFORMATION:
Passport Number ____________________ Issue Date _________ Expiration _________
Place of Issue  ____________________ Citizen of ____________________________

CREDIT CARD INFORMATION: (please indicate which are to be used for Business
and Personal)
Credit Card Company Account Number       Exp. Date      Name as it Appears



Credit Card CID number :__________________________________________________

I hereby authorize STRONG TRAVEL SERVICES, INC., to act upon my instructions
 received by telephone or letter, to charge to my credit card accounts listed above any
expenses arising from travel arrangements made by STRONG TRAVEL SERVICES,
INC., for me and any person designated by me, including, but not limited to, airline,
steamship, and railroad tickets, hotel accommodations, car rentals, and other land
arrangements.
___________ Date ____________________________________ Traveler’s Signature
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