Traveler Profile — EWA Travel, Inc.

Please note that upon full implementation of the Federal Government's Secure Flight program, each passenger (or travel agent) will be required to provide the following information to TSA when making a flight reservation: Passengers Full Name (as shown on state or government issued identification documents such as a State ID Card, Drivers License or Passport); Date of Birth; Gender; Redress Number (if available); Known Traveler Number (program has not yet been defined). Please answer the following questions and all other questions to assist EWA to perform your travel reservations. If we already have your Traveler Profile, please update as needed. Do not press enter until you have completed the form.

Your first, middle, and last names must match exactly as they are printed on the government issued ID or your passport.

Traveler Profile Form

Suffix (if any)

First Name

Middle Name

Last Name

Email Address

Title

Gender

Department or Cost Center Number

Date of Birth

YYYY

Government/Military ID

Redress Number

Known Traveler Number/TSA PreCheck

Organization

Office Phone Number

(###)

###

####

Work Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Citizenship

Passport Number

Passport Date of Issue

YYYY

Place of Passport Issue

Passport Expiration Date

YYYY

Flight Preferences

Class of Domestic Service

Seating Preference for Domestic

Class of International Service

Seating Preference for International

If preferred seating is unavailable, I will accept

Meals

Smoking or Non-Smoking

Smoking

Non-Smoking

Payment

In accordance with my company policy, my airline reservations are to be charged to the following:

Name on Credit Card

Credit Card Vendor

Credit Card Number

Expiration Date

Security Code

Hotel guarantees to be charged to:

Skip if the information above is the same.

Name on Credit Card

Credit Card Vendor

Credit Card Number

Expiration Date

Security Code

Personal travel to be charged to:

Skip if the information above is the same.

Name on Credit Card

Credit Card Vendor

Credit Card Number

Expiration Date

Security Code

Frequent Flier Membership

Please provide exact number on the membership card.

Airline 1

Name

Number

Pin Number

Airline 2

Name

Number

Pin Number

Airline 3

Name

Number

Pin Number

Airline 4

Name

Number

Pin Number

Car Preferences

Type of Car

Make/Model

If you have a loyalty/club membership with any of the following car rentals, please enter membership number.

Avis/Wizard Number

Budget/Super Res Number

Hertz/Number 1 Number

National/Emerald Club Number

Hotel Preferences

Hotel Type

Room Type

Smoking or Non-Smoking

Smoking

Non-Smoking

Preferred Hotel Chains in order of Preference. If you have a club membership with any of the following Hotel Chains that you list, please enter your membership number.

Hotel Chain 1

Membership for Hotel Chain 1

Hotel Chain 2

Membership for Hotel Chain 2

Hotel Chain 3

Membership for Hotel Chain 3

Special Requests

Please Note: Upon submitting your traveler profile, you will immediately be placed on EWA's monthly newsletter email list. We believe that our monthly newsletters provide our travelers with valuable information, but you may opt out at any time.