Travel Center

Putnam University Center
Willamette University
900 State Street
Salem, Oregon 97301

503-370-6388

travel@willamette.edu

Traveler Profile

Complete this form for each traveler using the Travel Center to place reservations.


Full Name - Required The name must match the government-issued identification the passenger intends to present at the airport prior to boarding. The government-issued ID is the controlling document.
First Name:
Middle Name:
Last Name:
Note: Travelers are advised to review their frequent flier award memberships to be sure their name exactly matches that on their government-issued ID; otherwise, credit will not be given for miles flown.

Date of Birth:: / /
Gender:: Male Female
Department:
Campus Phone:: ( ) -
Home Phone:: ( ) -
Cell Phone:: ( ) -
Cell Provider:
Email:
Fax:: ( ) -
Supervisor:
Assistant:
Deliver Ticket To:

Car Rental Please list companies in order of preference.
First Choice:
First Choice ID #:
Second Choice:
Second Choice ID #:
Third Choice:
Third Choice ID #:
Preferred Vehicle Size:
Special Request(s):

Hotel Please list hotel chains in order of preference.
First Choice:
First Choice ID #:
Second Choice:
Second Choice ID #:
Third Choice:
Third Choice ID #:
Accomodation Type:
Special Request(s):

Airline Please list airlines in order of preference.
First Choice:
First Choice ID #:
Second Choice:
Second Choice ID #:
Third Choice:
Third Choice ID #:
Fourth Choice:
Fourth Choice ID #:
Passport #:
Expiration Date:: / /
Special Meal Request:
Preferred Seat:: Aisle Window

Associated Affiliations Membership with companies offering travel discounts and ID numbers (e.g., AAA, AARP, etc.).
Affiliation:
Associated ID #:
Affiliation:
Associated ID #:
Affiliation:
Associated ID #:
Affiliation:
Associated ID #:

Credit Card Information If you are requesting a rental car and/or hotel reservations, a Travel Center representative will contact you to obtain credit card information.

Additional Information If you have any other comments or questions, please note them below.
Comments:

Traveler Profile

Full Name - Required

Personal Information

Car Rental

Hotel

Airline

Associated Affiliations

Credit Card Information

Additional Information