COMPANY ____________________________________     Travel Reservationist / Assistant _____________________

Address ____________________________________     _______________________________________________________

____________________________________________     Delivery Address ______________________________________

TRAVELER ___________________________________     _______________________________________________________

Title ______________________________________     Passport No. __________________________________________

Business Phone _____________________________     Expiration Date _______________________________________

Business Fax _______________________________     Cost Center No. _______________________________________

E-Mail Address _____________________________     Department Name _______________________________________

Web Address ________________________________     Employee No.___________________________________________


                                      FLIGHT INFORMATION

Aisle ______________________________________     Carrier Preference ____________________________________

Window _____________________________________     Meal Preference / Special Request _____________________

Other ______________________________________     _______________________________________________________


                                    FREQUENT FLIER PROGRAMS

               Membership Number:                Membership Status:
                                                 (Please indicate if you are
                                                 Gold, Preferred, etc. below)

American Airlines __________________________     _______________________________________________________

Continental ________________________________     _______________________________________________________

Delta Airlines _____________________________     _______________________________________________________

Northwest Airlines _________________________     _______________________________________________________

TWA ________________________________________     _______________________________________________________

United Airlines ____________________________     _______________________________________________________

U.S. Air ___________________________________     _______________________________________________________

Other ______________________________________     _______________________________________________________


                             CAR RENTAL INFORMATION / MEMBERSHIPS

Car Company:             Personal ID No.:          Car Company:              Personal ID No.:

Alamo _______________   _____________________      Hertz _________________   ___________________________

Avis ________________   _____________________      National ______________   ___________________________

Budget ______________   _____________________      Other _________________   ___________________________

Dollar ______________   _____________________      Other _________________   ___________________________

CarType:

Sub-Compact/Economy_______ Compact_______ Midsize_______ Fullsize_______ Luxury_______

Other (Specify) _____________________


                                     HOTEL INFORMATION

Hotel:        Personal Frequent Guest ID No.:      Hotel:             Personal Frequent Guest ID No.:

Hilton        ______________________________       Ramada             _______________________________

Holiday Inn   ______________________________       Sheraton           _______________________________

Hyatt         ______________________________       Westin             _______________________________

Marriott      ______________________________       Other___________   _______________________________

Radisson      ______________________________       Other___________   _______________________________

Room Arrangements:

Single ______________  Double _______  Other (Specify) ______________________________________________

Smoking _______  Non-smoking________


                                   CREDIT CARD INFORMATION

                                                              Name as it appears on       *Card applies to:
Company:       Number:                    Exp. Date:          credit card:                  A     B     C
Amer. Exp.     _______________________    _________________   __________________________   ___   ____  ____

Diners Club    _______________________    _________________   __________________________   ___   ____  ____

MasterCard     _______________________    _________________   __________________________   ___   ____  ____

Universal Air
  Travel Card  _______________________    _________________   __________________________   ___   ____  ____

VISA           _______________________    _________________   __________________________   ___   ____  ____

Other          _______________________    _________________   __________________________   ___   ____  ____

               _______________________    _________________   __________________________   ___   ____  ____

*Card applies to:  A = hotel/car guarantee
                   B = all travel reservations
                   C = personal reservations

I hereby authorize my designated agent to charge the above credit cards for any travel transaction
requested by me or my travel arranger via telephone, fax, letter or in person.

                                          _______________________________________________  ________________
                                          PASSENGER'S SIGNATURE                            DATE

Additional Information and Special Requests:

___________________________________________________________________________________________________________


Vacation / Personal Travel Information:

Home Address: ______________________________________________   Home Phone: ________________________________


Credit Card Number for Personal Travel:

__________________________________________  ____________________________________________   _________
Credit Card Company                         Credit Card Number                             Exp. Date


Vacation Interests (Optional):

______________ Cruises                      ________________ Golf Packages

______________ Last Minute Vacation Deals   ________________ Ski Packages

______________ Beach Getaways               ________________ Other