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  Female Resident Country

Telephone # (Business)    Telephone # (Home)
Telephone # (Mobile) *EMAIL Address
Assistant Contact Name Assistant Email Address
Airline Seating Preference  Aisle   Window Other Seating Request   
Global Entry Pass ID # TSA Pre Check?™ #
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 CARD Please call office with CC #       918-254-1608 Tulsa or 918-336-2360 Bartlesville
Other INFORMATION or COMMENTS
Please enter the characters above
 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