Sanditz Travel

This form helps to customize and retain your information and preferences when arranging your travel by phone.
Please choose one:	New Profile Update Profile

Traveler Information
Full Name (Last, First): * required
Title:
Employee ID:
Company:
Division/Dept:
Business Address1:
Address2:
City, State, Zip:
Business Phone:
Business Fax:
Email Address:
Cell Phone:
Gender: *
Date of Birth: * (format MM/DD/YY)
Redress Number: *
*THIS TSA (TRAVEL SECURITY ADMINISTRATION) INFORMATION IS REQUIRED FOR ALL DOMESTIC AND INTERNATIONAL TRAVEL IN ACCORDANCE WITH US LAW. A REDRESS NUMBER IS ASSIGNED BY THE TSA TO THOSE FREQUENT TRAVELERS WHOSE NAMES MATCH OR ARE SIMILAR TO THAT OF A NAME ON THE �NO FLY LIST�. THE REDRESS FIELD IS ONLY MANDATORY IF A REDRESS NUMBER HAS BEEN PROVIDED TO YOU BY THE TSA

Personal Information
Home Address1:
Address2:
City, State, Zip:
Home Phone:

Airline Information
Frequent Flyer Numbers: List in order of Preference (Please note: Company preferences take priority)
Airline:		No:
Airline:		No:
Airline:		No:
Airline:		No:
Seating:	Aisle Window Other
Meals:	Kosher Low Calorie Low Sodium Vegitarian Other

Car Rental Information
Car Membership Numbers: List in order of Preference (Please note: Company preferences take priority)
Car Co:		No:
Car Co:		No:
Car Co:		No:
Car Co:		No:
Prefered Size:	Economy Compact Mid Size Full Size 2 Door 4 Door Other

Hotel Information
Hotel Membership Numbers: List in Preference order (Please note: Company preferences take priority)
Hotel:		No:
Hotel:		No:
Hotel:		No:
Hotel:		No:
Prefered Room Type:	Double Queen King Suite Other Non-Smoking Smoking

Additional Information
Emergency Contact Name:
Relationship:
Address:
Phone:
Email Address:
Please note any ohter information we should be aware of regarding your travel (Not Credit Card):

For Security please contact our agency directly to add or change a credit card or passport number (860-344-7036) Thank you.

Sanditz Travel�