4205-C West Wendover Avenue Greensboro, NC 27407
Tel: 336.855.0060 1.800.227.7577
Fax: 336.855.0061
www.awaytogotravel.com

Corporate Travel Services

Enrollment form

Please complete this form in its entirety

Full Name

Date of Birth

Passport Number

Company Name

Company Address

Gender

Current Visas

Passport Exp. Date

Work Phone:

Work Fax:

E-mail:

Emergency Contact name:

Phone:

A Corporate agent will contact you personally for billing information.

Traveler Preference and Membership

FREQUENT FLYER INFORMATION

AIRLINE SEATING PREFERENCE

Alitalia:

American:

Continental:

Delta:

Lufthansa:

Northwest:

United:

US Air:

Other Airline:

Other FFN:

	SPECIAL MEAL REQUESTS
	1st Choice: 2nd Choice:
	Diabetic Kosher Low Salt/Sodium		Fruit Low Calorie Vegetarian

	CAR RENTAL MEMBERSHIPS				HOTEL MEMBERSHIPS
	Alamo: Avis: Budget: Hertz: National: Other Car Rental:				Hilton: Holiday Inn: Hyatt: Marriott: Sheraton: Starwood: Other Hotel: Other ID#:

	CAR RENTAL PREFERENCE				HOTEL ROOM PREFERENCE

Under the Secure Flight Final Rule, TSA requires airlines to collect and transmit to TSA the following information:
Name as it appears on government-issued I.D. when traveling(required)
Itinerary (required)
Date of Birth (required)
Gender (required)
Redress Number (if applicable, is optional).