Travel BLitz - Client Profile

Use this form to send us your details.
Your profile is used only to make booking travel more convenient for you. Once you submit your details you do not need to send them when booking travel in the future

IMPORTANT

- Your privacy is important to us. No information supplied in this form is shared or given to any other party.

- Do not use a HOTMAIL or GMAIL address as your personal email address. They are frequently blocked by email servers as spam.

- Due to the amount of [SPAM] received through this form, users IP addresses are logged. Your IP address is 38.107.191.96

Personal Details [Details MUST be the same as shown in passport]

Title	First Name	Surname	Date of Birth

	Occupation	Company	Position

Corporate Cost Centre

Business Address

Home Address

address
suburb
city
post code
Work Phone
Work Fax
Mobile No

address
suburb
city
post code
Home Phone
Home Fax
Email Address*

Dont use a hotmail or gmail email address !

Airline Preferences

Preferred Domestic Airline

Preferred International Airline	Qantas Air New Zealand Cathay Pacific Singapore Airlines British Airways United Airlines American Airlines Malaysian Airlines
Other Preferred Airline
International Seat Class
Meal Preference
Add any Special Requirements

Seat Preference	Aisle	Forward
Seat Preference	Window	Rear

Frequent Flyer - Membership Numbers

Airline	Frequent Flyer Number	Car	Membership Number





Hotel Chain	Membership Number	Additional Frequent Flyer Information

Passport - Visa Details

Passport 1
Country	Passport No.	Expiry Date	Place of Issue

Visa 1
Country	Place of Issue	Issue Date	Expiry Date



Passport 2
Country	Passport No.	Expiry Date	Place of Issue

Visa 2
Country	Place of Issue	Issue Date	Expiry Date

Credit Card Details

Credit Card 1 Details
Type
Number
Exp Date
Name on Card

Credit Card 2 Details
Type
Number
Exp Date
Name on Card