Personal Travel Profile

Traveller Information Name: Phone Number: Fax: (MUST match passport) Company: Email Address: Passport #: Expiry: Home Address Date of Citizenship: Birth: Corporate American Express MasterCard Card Number: Credit Card Visa Diners Club/EnRoute Information Expiry Date:

Travel Preferences AIRLINE INFORMATION Frequent Flier Use for All Alliance Preferred Airlines Account Number Membership Status Seating Preference Partners? 1. Aisle Window Yes 2. Aisle Window Yes 3. Aisle Window Yes CAR RENTAL INFORMATION Car Rental Preferences: Car Size: Economy Mid-Size Mini Van Compact Full Size SUV/4x4 Car Rental Company: 1. Membership #: Car Rental Company: 2. Membership #: HOTEL INFORMATION Hotel Preferences: Room Type: Single (1 Bed) Lower Level Double (2 Beds) High Floor Hotel Preference: 1. Membership #: Hotel Preference: 2. Membership #:

Personal Information (optional)

Family Name: DOB Relationship: Members Name: DOB Relationship: Name: DOB Relationship: Name: DOB Relationship: Personal American Express MasterCard Card Number: Credit Card Visa Diners Club/EnRoute Information Expiry Date: Emergency Name: Phone # Relationship Contact PRIVACY INFO: Privacy of personal information is an important principle to Sportscorp Travel. We are committed to collecting, using and disclosing personal information responsibly and only to the extent necessary for the travel products and services we provide. We also try to be open and transparent as to how we handle personal information. Our complete Privacy Policy can be found at www.sportscorptravel.com/privacy or by requesting a copy from our office. By signing this form, you agree to the terms of our Privacy Policy.

Signature of Traveller: X:

Once completed, please fax this form to 905-951-0433 or e-mail it to [email protected]

Sportscorp Travel Ltd  2 Holland Drive, Unit 9  Bolton, Ontario, L7E 1E1 Telephone: 905-857-8599  Fax: 905-951-0433 www.sportscorptravel.com  [email protected] Version 1.4 April 3, 2013