Please fill out the form, print and fax back to the office handling your account.   Please provide the following information:

Preferred Seating  Aisle Window

Preferred Hotel                                                       Account Number

Preferred Bed Type King Queen Full

Non-smoking   No Yes       Special Requests

Preferred Car Company                                            Account Number

Preferred Car Type Luxury Full Mid-size Compact Sub-Compact SUV

Drivers License State Number Date of birth

Name exactly as it appears on your Driver License

Name exactly as it appears on your Passport

Date of birth

Number  Issuance Date Exp. Date

TSA rules require the name(s) on your airline ticket, and your date of birth to match exactly, your name(s) and date of birth on the
government ID you use for air travel.

Credit Card Information                                          

Business Card

Card Type  Card Number   

Expiration Date Security Code

Personal Card

Card Type   Card Number   

Expiration Date Security Code

I hereby authorize Protravel International to charge the above listed credit cards for all of my travel reservations including
guaranteed hotel reservations for late check in.

Signature:                                                                                          Date:

Printed Name