CAPITOL TRAVEL "VIP" PROFILE

This information will be used to create an individual personalized file in our reservations system, eliminating the need to repeat your information with each reservation.  This enhancement will assure that the frequent traveler's needs are fulfilled with greater speed and accuracy.  This information is private and will not be shared with anyone.

Name (as it appears on government issued ID)

Title/Dept.

Company


Street Address

Room Number 

City/State

Telephone

Assistant's Name

Airline Preferences

Seat Preference:

Window     

Aisle       

Car Rental Preferred Numbers

Hotel Preferred Numbers

Other Discount Numbers

Frequent Flyer Numbers                               Airline
Home Address

City/Zip Code

Home Phone

Remarks


Fax

Email

Credit Cards - Please Indicate if
Personal (P) or Corporate (C)

American Express #

Expiration Date 

MasterCard  #
Expiration Date 

Visa #

Expiration Date 

Other #'s and Dates



Specific Billing or Ticketing Instructions

Additional Miscellaneous Information