Metropolitan Travel ServicesProfile - Metropolitan Travel Services

METROPOLITAN TRAVEL PROFILE FORM

Metropolitan Travel Services

4520 Old Columbia Pike Annandale, VA 22003 (703) 941-8186 Office (703) 245-4033 Fax

Name and Email

(Name must be as it appears on your PASSPORT or DRIVERS LICENSE)

First Name(required)

Middle Name or Initial

Last Name(required)

E-mail Address(required)

E-mail Type(required)

Personal

Union

Personal Address and Phone Numbers

Home Street Address

(complete only if using personal credit card)

State

City

Zip Code

Home/Cell Phone(required)

Work Phone

Date of Birth / Gender / TSA Information

Date of Birth(required)

Gender(required)

Male

Female

TSA Pre Check Number

Global Entry Number

Redress Number

Union Information

Union Name(required)

District Number

Local Lodge Number

Union Street Address

City

State

Zip Code

Form of Payment (unless Direct Billed)

Credit Card Type

CC Exp Month

CC Exp Year

16 Digit

Credit

Card

Number

American Express Number

Name As It Appears On Credit Card

Airline Seat / Frequent Flyer Information

1. Airline Name

Airline Number

2. Airline Name

Airline Number

3. Airline Name

Airline Number

4. Airline Name

Airline Number

5. Airline Name

Airline Number

Airline Seat Preference

Aisle

Center

Window

Rental Car Information

1. Rental Car

Car ID Number

2. Rental Car

Car ID Number

3. Rental Car

Car ID Number

4. Rental Car

Car ID Number

5. Rental Car

Car ID Number

Car Size Preference

Compact

Midsize

Full Size

Hotel Guest Number Information

1. Hotel Name

Hotel Guest #

2. Hotel Name

Hotel Guest #

3. Hotel Name

Hotel Guest #

4. Hotel Name

Hotel Guest #

5. Hotel Name

Hotel Guest #

Hotel Room Preference

King

Queen

Two Doubles

Hotel Guarantee Information

Credit Card Type

CC Exp Month

CC Exp Year

16 Digit

Credit

Card

Number

American Express Number

Name As It Appears On Card

Special Requests

Please advise if you have any special requests or needs

Security Key

Type the characters(required)

By submitting this form I hereby authorize Metropolitan Travel Services, Inc. to charge my card number(s) as indicated on this form for any travel transactions requested by me or my authorized representative by telephone or in writing from this day until such time as I advise you in writing to the contrary. I hereby ratify any instructions given pursuant to the above authorizations and agree that neither Metropolitan Travel Services, Inc., nor any of its employees, agents or representatives will be liable for any loss, liability, cost or expense for acting upon such instructions to use my credit card for travel and related services.

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