New Castles Travel Agency
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Personal Information
Last Name * First Name * Middle  
 
Company Name Title Div/Dept  
 
Business Address City State Zip Code
Business Phone Extension Business Fax Business E-mail*
Secretary's Name Phone Extension Delivery FLR/BLDG FEDEX Account #
Home Address City State Zip Code
Home Phone Home Fax Home E-mail  
 
Passport # Place of issue Expiration Date Citizenship
Airline Preferences
Airline Frequent Flyer # Airline club
membership #
Seating Selection
First Class Business
Coach  
Window Asile
Hotel Preferences
Chain Corporate ID # Personal ID #
Hotel Room Type
None Smoking Smoking
Single Double
Standard Deluxe
Corporate Suite
Car Rental Preferences
Car Company Corporate ID # Personal ID #
Car Rental Type
Subcompact Compact
Midsize Full size
Standard Deluxe
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