MacNair Business Travel

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Basic Web Form

Please fill out the profile below to begin taking immediate advantage of all the benefits offered by MacNair Travel Management.

1.	Today's Date:
2.	Name: (Last)
	Name: (First, MI)
3.	Title:
4.	Company Name:
	Company Address:

5.	City:
6.	State:
7.	Zip Code:
8.	Company Phone/Ext.:
	Input Format:	(xxx)xxx-xxxx EXT. xxxx
9.	Company Email address:
10.	Company Fax:
	Input Format:	(xxx)xxx-xxxx
11.	Wireless Phone:
	Input Format:	(xxx)xxx-xxxx
12.	Secretary/Admin Asst:
13.	Secretary/Admin Phone:
	Input Format:	(xxx)xxx-xxxx
14.	Special Delivery Instructions:
15.	Home Address:

16.	City:
17.	State:
18.	Zip Code:
19.	Home Phone:
	Input Format:	(xxx)xxx-xxxx
20.	Home Email address:
21.	Home Fax:
	Input Format:	(xxx)xxx-xxxx
22.	Emergency Contact:
23.	Contact Phone:
	Input Format:	(xxx)xxx-xxxx

Air Travel Preferences
24.	Seating Preferences:	Non-Smoking
		Smoking (available only on select international flights)
		Aisle
		Window
		Other

25.	Special Meals:	Diabetic
		Kosher
		Low Sodium
		Low Fat
		Vegetarian
		Other

26.	Allergies/Medical conditions that should be noted:

Frequent Flyer Programs
27.	American	Name:
		Number:
28.	Continental	Name:
		Number:
29.	Delta	Name:
		Number:
30.	Northwest	Name:
		Number:
31.	US Airways	Name:
		Number:
32.	United	Name:
		Number:
33.		Name:
		Number:
34.		Name:
		Number:
35.		Name:
		Number:
36.		Name:
		Number:

Hotel Preferences
	Hotel Chain	Member Number
37.
38.
39.
40.
41.
	City	Hotel Name
42.
43.
44.
45.
46.

47.	Room Preferences:	Double
		King
		Non-Smoking
		Smoking
		Other

Car Rental Preferences (Name on reservation must match frequent flyer member name to ensure credit)
		Member Number
48.	Alamo:
49.	Avis:
50.	Budget:
51.	Hertz:
52.	National:
53.	Other:

54.	Style / Size Preferences:	Economy
		Compact
		Intermediate
		Full Size
		Luxury
		Other

International Travel
55.	Passport Number:
56.	Country of Issue:
57.	Date of Issue:
	Input Format:	dd/mmm/yyyy
58.	Date of Expiration:
	Input Format:	dd/mmm/yyyy
59.	If not US Citizen, Indicate Visa# and Type:
60.	Countries Frequently Traveled:
61.	Notes Relating to Your Key Destinations:

Vacation Travel
62.	In the next 12 months, what destinations are you interested in visiting? Select all that apply:	Alaska
		Hawaii
		Florida
		California
		Caribean
		Mexico
		Western Europe
		Eastern Europe
		Asia
		Australia
		Africa
		Costa Rica / Central America
		South America
		Other

63.	What type of travel will you use to get there?	Air
		Cruise
		Tour
		Other

64.	How many months in advance will you plan a vacation?	3-6
		6-9
		9-12
		12+

65.	How much money do you spend on vacation each year?	Less than $1,000
		$1,000 - $4,999
		$5,000 - $9,999
		$10,000 - $14,999
		$15,000+

66.	With whom do you usually travel (including family and friends)?	Adults
		Children 12 or older
		Children under 12
		Seniors

67.	Which activities do you frequently enjoy on your vacation?	Golf
		Tennis
		Casino / Gaming
		Spa treatment
		Scuba
		Other

68.	Which influences your decision in selecting a resort?	Service
		Value-added features
		Destination
		Price
		Activities
		Other

Information Sources
MacNair Travel offers several communications sources to keep our travelers in touch with the industry and the services we provide. Any or all of these are available at no cost to you. Please indicate your preference(s).

E-mail broadcasts, weekly updates and reminders
NewsLetter, bi-monthly news on business and leisure travel
No Thanks, I would prefer not to receive any of the above

MacNair Travel Management Corporate Headquarters Alexandria, VA Office Travel and Cruises and Corporate Travel Divisions (ph) 703-836-1100 (fax) 703-836-2078 1-800-833-4382	MacNair Travel Management Washington, DC Office Group, Meeting and Incentive Travel and Corporate Travel Divisions (ph) 202-496-9300 (fax) 202-496-9309 1-888-662-2624
© 2007 MacNair Travel Management