World Travel Bureau
Please click here to download the form to fill out and fax to World Travel
World Travel Office Location
Name of Company / Organization
Name of Traveler, as it appears on your Passport or Drivers License
Business Phone Number
Business Fax Number
Travel Planner Phone Number and Ext.
Travel Planner email address
City, State, Zip
After hours / Cell Phone Number
Home City, State, Zip
#1 Preferred Airline and Frequent Flyer Number
#2 Preferred Airline and Frequent Flyer Number
#3 Preferred Airline and Frequent Flyer Number
Class of Service, (First, Business, Coach, Economy):
Airline Seating Preferences (Window, Aisle):
Special Meals/Diet Requests:
Rental Car Company:
Rental Car Corporate ID #
Rental Car Personal ID #
Car Size (Compact, Midsize, Fullsize 2-door, Fullsize 4-door):
Rental Car Special Requests:
#1 Preferred Hotel & Corp. I.D. No.
#2 Preferred Hotel & Corp. I.D. No.
#3 Preferred Hotel & Corp. I.D. No.
Hotel Room Type (Smoking/ Nonsmoking):
Hotel Special Requests:
Credit Card Type:
Credit Card Number:
Credit Card Expiration Date
Name as it appears on Credit Card as well as Billing Mailing Address
Country of Citizenship
Passport Issue Date:
Passport Expiration Date:
Favorite Place to Vacation:
For complete confidentaility and privacy, please print and fax this form to 714-835-8124.
© 1997 - 2003 World Travel Bureau Inc. CST # 1005049-10