Traveler Profile Form

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	Required
*Last Name	Required
Middle Name (as listed on ID)
Employee ID #	Please call office with #
Department Name
Business Address (Street)		Business Address (City)
Business Address (State)	Required	Business Address (Zip)
Date of Birth	Due to NEW security, we are no longer able to collect your BDATE in this form. Please email your name and birth date to: gss1042@spearstravel.com	Canadian Province
Passport #	Please call office with #	918-254-1608 Tulsa or 918-336-2360 Bartlesville
Gender	Required Male Required Female	Resident Country
Telephone # (Business)		Telephone # (Home)
Telephone # (Mobile)		*EMAIL Address	Required
Assistant Contact Name		Assistant Email Address
Airline Seating Preference	Required Aisle Required Window	Other Seating Request
Global Entry Pass ID #	Please call office with #	TSA Pre Check?™ #	Please call office with #
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
	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: Lynn Scott - 918-254-1608