UNIVERSITY OF MASSACHUSETTS TRAVELER PROFILE CONFIDENTIAL EMPLOYEE INFORMATION
Prepared by Campus Services (
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To University of Massachusetts Travelers:

The information requested below will enable the University's designated travel agencies to process your reservations faster and more efficiently. It will remain confidential and will be stored in the agencies' computers; thus they will not have to ask you to repeat these details every time you call. Please complete this form and return it to: Travel Management, Room 336 Whitmore Building. PLEASE PRINT OR TYPE ALL INFORMATION. Thank you!

NAME

Last: First: Middle:

 

DATE

TITLE

 PERSON WHO ARRANGES YOUR TRAVEL

 

 CAMPUS ADDRESS

Department _______________________________________

Building _______________________________________

Room _______________________________________

Box Number _______________________________________

Phone Fax _______________________________________

 HOME ADDRESS

Street _______________________

City _______________________

State Zip _______________________

Phone _______________________

DELIVERY OF TICKETS - How would you prefer to receive your tickets?delivered on campus(all agencies)

mailed to home (all agencies)

pickup at Amherst office
(for Carroll Travel reservations only)

pick up at Campus Center agency
(for McGregor reservations only)

AIRLINE INFORMATION

Seat Selection: aisle window smoking non-smoking

DIETARY REQUIREMENTS

diabetic gluten free kosher low calorie low cholesterol/fat low sodium salt free vegetarian

 MILEAGE BONUS PROGRAMS

Name of program _____________________________ID# ________________________________

Name of program _____________________________ID# ________________________________

Name of program _____________________________ID# ________________________________

Name of program _____________________________ID# ________________________________

Name of program _____________________________ID# ________________________________

 

HOTEL PREFERENCES

1.________________________________________________________________________________________________

2. ________________________________________________________________________________________________

3. ________________________________________________________________________________________________

 CAR RENTAL PREFERENCES

 1. _______________________________________________________________________________________________________

2. _______________________________________________________________________________________________________

3. _______________________________________________________________________________________________________

 CREDIT CARD INFORMATION

Card Name...............................................Card Number.............................................................Expiration Date

_______________________________....._______________________________________.....______________________

_______________________________....._______________________________________.....______________________

_______________________________....._______________________________________.....______________________ 

Traveler's authorization for credit cards

______________________________ __________

Signature Date

PASSPORT INFORMATION

Passport number

Expiration date Place of issue

Date of issue Date of birth Place of birth

 SPECIAL TRAVEL REQUIREMENTS

______________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_______________________________________________________________________________________________________

 University Designated Travel Agencies

Carroll Travel/American Express

15 Cowles Lane

Amherst, MA 01002

413-256-8931

800-446-5580

FAX 413-256-8165

Cheryl Sullivan, Manager

McGregor Travel at the Campus Center

Campus Center Hotel Lobby

UMass

413-545-1700Amherst

800-786-1203

FAX 413-545-2448

Yvette Rodriguez, Manager