Atlas Products Page

Travel Profile Form

Use this form to create/update your personal profile. If you're creating a new profile, please fill out each section as completely as possible. If you are updating a current profile, you only need to fill out the additions or corrections you want to make. Please be sure to fill in the Traveler Name and Company Name fields, even if you're just updating. This information is what we use to locate your current profile in our computer reservation system. If you have any problems or questions, you can send an email to Atlas Travel in the Melbourne, Florida office.

Personal data

	New Profile		Updated Profile
Travelers Name:*
Company Name:*		Dept:
Company Address:
City/State/Zip:

PHONE: Office		FAX:
PHONE: Home		E-Mail:*

Click here if you would like our monthly travel update sent to your e-mail address listed above.
Travel Arranger:		Phone:

* = Required Field

Airline Travel

Pre-assigned seating

Non-smoking	Smoking	Aisle	Window
Bulkhead	Forward	Rear	Other:

Special meals

Diabetic	Fruit	Kosher	Low Fat
Seafood	Vegetarian	Other:

Frequent flier memberships (Please indicate membership number):

American:		Delta:
US Airways:		TWA:
Northwest:		United:
Continental:		Other (specify):
Other (specify):		Other (specify):

NOTE: Carriers require an exact match of your name as it appears on your ticket with the name shown on your frequent flier card. The tracking systems are not, for example, able to match a passenger with the name of JB Doe with a membership for John B. Doe. You must contact each individual airline to change your membership to reflect use of one name consistently.

Hotel information

List any frequent guest program membership numbers:

Hilton:		Radisson:
Hyatt:		Ramada:
Holiday Inn:		Sheraton:
Marriott:		Other (specify):
Other (specify):		Other (specify):

Special Requirements

Room Type:	Non-Smoking	Smoking	Special Request Disability
	King	Double	Twin

Credit card for room guarantee:

Card Type:

Number:

Exp. Date:

Car rental information

List any frequent renter program membership numbers:

Avis:		Hertz:
Alamo:		National:
Budget:		Other (specify):
Other (specify):		Other (specify):

Preferred Car Size:

Luxury	Full Size	Mid-Size
Compact	Economy	Non-Smoking
Other (specify):

International travel information

Many airlines now require that passport numbers be entered into the flight records of international travelers.

Name (Exactly as issued):
U.S. Passport Number:		Date of Issue:
Place of Issue:		Expiration:
Emergency contact:		Phone:

Credit card information

Business Travel

Card Type:

Number:

Exp. Date:

Personal Travel

Card Type:		Number:		Exp. Date:
Card Type:		Number:		Exp. Date:

I, hereby authorize Atlas Travel

Comments / Special instructions

Please advise us with any additional information and/or comments in the space provided below.

The travel consultant I normally speak with is:

View Itinerary & Print E-Ticket Receipt

Reservation Code:

Last Name: