VCH Traveller Profile

One of the ways North South Travel provides prompt, efficient service to each of our clients is by keeping our confidential files up-to-date regarding each traveller’s needs. If you haven’t already filled out a Traveller Profile, please complete the following and send it to us electronically. Help us to serve you better!

Fields marked with * are required.

Title:

Emergency Contact Name:

*

First Name:

Emergency Contact Phone:

*

Last Name:

Spouse’s First Name:

*

Date of Birth:
(MM-DD-YYYY)

Spouse’s Last Name:

*

Nationality:
(on Passport)

Spouse’s DOB
(MM-DD-YYYY)

*

Home Address:

Company:

*

City:

Faculty / Department:

*

Province / Territory:

Travel Planner Name:

*

Postal Code:

Travel Planner Phone:

Home Phone:

Business Phone:

Cell Phone:

Fax:

Email:

Special Requirements

Airline Preferences

Frequent Flyer Miles

Automobile Preferences

Car Company Memberships

Hotel Preferences