Corporate Profile Form

Do not use this form if you (or your travel planner) use our Deem or Concur Online Booking tool.
Please update your profile directly in Deem or Concur.

(Please use your full name as it appears on your passport and driver's license.)
New Profile:    Update Profile:
Secure Flight is a program developed by the Department of Homeland Security (DHS) in response to a key 9/11 Commission recommendation: uniform watch list matching by TSA. The mission of the Secure Flight program is to enhance the security of domestic and international commercial air travel through the use of improved watch list matching. TSA requires covered aircraft operators to request a passenger's full name, gender, date of birth, and Redress Number (if applicable). For more information see the TSA website.
All Information must match the government issued I.D. used to check-in with airlines.
Traveler Last Name:Required
Traveler First Name:Required
Traveler Middle Name or Initial:Required
Traveler Birth Date: Required
Traveler Gender:Required
Traveler Redress Number: 
DHS Traveler Redress Inquiry Program DHS TRIP.
Known Traveler Number: 
Also Known As: TSA PreCheck, Trusted Traveler, Global Entry, Sentri, Nexus
Please click submit at the bottom of this form to send your information
Job Title: 
 
Home Address:Required
Home City:Required
Home State:Required
Home Zip:Required
 
Company Name:Required
Travel Planner: 
Company Address:Required
Company City:Required
Company State:Required
Company Zip:Required
Department Code: 
 
Business Telephone:Required
Business Fax: 
Home Telephone: 
Cellular Telephone: 
Email:Required
Preferred Airport: 
Seating Preference:Window    Aisle 
Special Meal Request:  
Airline Frequent Flyer Programs:  (numbers and letters please)
Travelers with "status" (i.e. Delta Gold Medallion) on specific airlines MUST include their "status level" in the appropriate box to receive those benefits.
Note: The name on each Frequent Flyer account needs to match the name on your driver's license or you may not receive mileage credit. Include the expiration date of your driver's license below and we will remind you before it expires.
Airline: Program Number Status
American:
Delta:
United:
Southwest:
Certain Car Rental programs allow you to assign your points to select Airline's Frequent Flyer Program. In the Airline field below indicate an Airline, for which you have a Frequent Flyer Number, to apply your points. For details regarding Frequent Flyer and Drivers partners please follow the links to their respective website's on the Frequent Flyer page.
Driver's License Exp.
Car Size:  
Car Rental: Program Number Airline
Alamo:
Avis:
Budget:
Enterprise:
Hertz:
National:
 
Room Preference: Non-Smoking   Smoking
Hotels: Program Number
Hilton
Holiday Inn:
Hyatt:
Marriott:
Sheraton:
 
Credit Card for AirNumberExpiration Date
  
Credit Card for HotelNumberExpiration Date
(Required to guarantee hotel reservations.)
 
Passport Information:
Name on Passport: 
Passport Number: 
Citizenship:  Expiration Date:
 
AARP senior discount Number: AAA Number:
Other Pertinent information:Maximum 250 Characters
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210 South Main Street   Goshen, IN 46526
(800) 635-0963  Fax: (574) 534-2158