19688 Blossom Lane
Grosse Pointe Woods, MI 48236
Phone: 313-886-6868 · Fax: 313-886-4910

1010 Bowers Suite B
Birmingham, MI 48009
Phone: 248-649-1234 · Fax: 248-649-9070

Traveler Profile - Corporate

Company Information
Company Name:
Executive Contact: Title:
Street Address: Main Line:
City: Fax Line:
State/Province: Company Email Address:
Zip Code:
Company Budget
Type: Billing Address:
Name as it appears on card: City:
Card Number: State/Province:
Security Code: Zip Code:
Expiration Date:
Airline Policy
International Domestic
First Class Travel? Yes No Yes No
Business Class? Yes No Yes No
Coach Class? Yes No Yes No
*Restricted Coach Class? Yes No Yes No

*Non-refundable, subject to carrier imposed change fees and policies.

List any exceptions to the above policy:
Frequent Destinations
Domestic International
Corporate Discount Numbers
Name: Id Number Corporate Rate
Car Rental
Name: Id Number Corporate Rate