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.

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