Profile2

Personal Information
NAME:*
E-Mail Address:
PHONE:*
Cell Phone:
Fax Number:
Street:	Apt No:
City:
State:	ZIP:
Country:
Travel Information:
AIRLINE:*
Frequent Flyer #:
Seating Preferences
Meals
CAR RENTAL
Auto Club #:
Auto Style:
ACCOMMODATION
Club Member #:
Room Size:
PAYMENT INFO:	Bill to Company Check Charge Card Cash
Authorization:
Credit Card:	"Billing Security" If this is your first time filling out this authorization form, it is important that you send or fax us your signature. Name on Card Credit Card exp Phone # You hereby authorize said our agency to issue air tickets upon verbal request, charging them to the credit cards listed above per a "signature on file" basis. This authorization will remain in effect until revoked in writing. X
*Thank You!*	Mai's Travel Service, Inc. 7270 SW Hermoso Way, Tigard, OR 97223-6138 Fax# 503-968-2049 Please know that we respect your online time and will only use your response to provide you with custom service. For each reservation you book enabling us to know what you like, what travel clubs you belong to and what discounts your qualify for. We will not sell or redistribute this information.
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