Corporate Travel Profile (CONFIDENTIAL) - Please fill out and hit "SUBMIT" at bottom of form

*Date Completed (MM/DD/YY)

*Is this a NEW profile?   Yes   No
Company Name
*First Name
*Last Name
Middle Name (as listed on ID)
Employee ID #
Department Name
Business Address (Street) Business Address (City)
Business Address (State)

Business Address (Zip)
*Date of Birth (MM/DD/YYYY)Canadian Province
Passport #Please call office with passport # 918-254-1608 Tulsa or 918-336-2360 Bartlesville
Gender Male  FemaleResident Country

Telephone # (Business)   Telephone # (Home)
Telephone # (Mobile)*EMAIL Address
Assistant Contact NameAssistant Email Address
Airline Seating Preference Aisle   WindowOther Seating Request   
Global Entry Pass ID #TSA Pre?™ #
Airline Frequent Flyer Numbers

 Choose One

Airline Frequent Flyer Numbers

Airline Frequent Flyer Numbers

  Choose One

Airline Frequent Flyer Numbers
Airline Frequent Flyer Numbers

  Choose One

Airline Frequent Flyer Numbers
Airline Frequent Flyer Numbers

  Choose One

Airline Frequent Flyer Numbers
If Other please add Airline here:      FF#
Special Meal Requests
Hotel Membership Numbers

 Choose One

Enter Hotel Number
Hotel Membership Numbers   

 Choose One

Enter Hotel Number
Hotel Membership Numbers   

 Choose One

Enter Hotel Number
Hotel Membership Numbers   

 Choose One

Enter Hotel Number
Car Rental Membership Numbers

 Choose One

If Other please add Hotel here:     Add #
Car Rental Membership Numbers

 Choose One

If Other add name and number
CREDIT CARDPlease call office with CC #      918-254-1608 Tulsa or 918-336-2360 Bartlesville
Other INFORMATION or COMMENTS
 Enter Email to receive a COPY and CHECK BOX      

* REQUIRED FIELD

AUTHORIZATION

By submitting this form I hereby authorize Spears Travel to charge to the credit card account(s) (through signature on file) as indicated on this form, any business travel transactions requested by the undersigned traveler or his authorized agent via telephone or letter while this is in effect. The individual traveler hereby authorizes Spears Travel to charge to his credit card account(s) (through signature on file) as indicated on this form, any personal travel transactions requested by him or his authorized agent via telephone or letter. 

CONTACT:  Brad Johnson - 918-254-1608