TravelSort New Client Request Form
Name (as in passport) ____________________________________________________________
Street Address: _________________________________________________________________
City: _________________________ State: ______________ Zip/Post Code: _______________
Best phone number(s): ___________________________________________________________
Email: __________________________________ Date of Birth (MM/DD/YY): ________________
HOTEL, CRUISE AND TRAVEL PREFERENCES
Do you prefer 1 double (King or Queen) bed or a room with 2 beds? _______________________
Do you have any preferences for that apply to all your hotel or cruise stays? _______________________
Favorite Hotel(s) / Cruise(s)? ________________________________________________________________
When celebrating a special occasion, what would you choose? (E.g.: red wine; white wine; fruit; chocolate, etc.)
_______________________________________________________________________________
FAMILY MEMBER INFORMATION (full name, date of birth of each family member)
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CREDIT CARD GUARANTEE INFORMATION
Card Type: Number: Exp. Date: /
Name on the card: Security Code: Billing Zip Code:
Credit Card Authorization
By faxing this document, I authorize TravelSort to charge the above credit card for any travel transactions requested by me or by my authorized agent via phone, email, fax, or letter. I agree to a $50 charge for any hotel and cruise requests made to TravelSort where my final, commissionable hotel or cruise choice is not booked by TravelSort and the stay/cruise is completed, as compensation for the time spent on my request.
date __/__/____ Signature ____________________________________
Please complete and fax to TravelSort at 646-760-5549.