CONFIDENTIAL

Traveler Information
  
Name:*
Company Name:*
Department Name:
Department # or Cost Center #:
Title:
Business Address:*
E-mail Address:*
Business Phone:
Cell Phone:
Fax:
Profile Submitted By:
(e-mail Address)*
Home Address:
(for emergency use only)
Home Phone:
(for emergency use only)
Travel Coordinator:
Travel Coordinator’s Phone:

 

Airlines

Frequent Flyer Club Memberships:
  
  Airline Name Frequent Flyer
Number
Cardholder Name
as it appears on the card
1.
2.
3.
4.
5.
6.
7.
8.

Air Canada PIN Number:
Special Meal Required:

Window      Aisle

Hotels
  
In order of preference:
  
  Hotel Name Club Membership Number
1.
2.
3.
4.
5.
6.

Room Type:
Special Requirements:
Credit Card for Hotel Guarantee Only:
(If other than Airline Billing - Type, Number, Expiry)

Smoking     Non-Smoking

 

Cars
  
Avis Wizard Number:
Budget Fast Track Number:
Hertz Gold Club:
Alamo Quick Silver:
Other:
Auto Size (Please click and select one):
Specialty Vehicle:

Travel Documents
  
Passport Number:
Citizenship:
Expiry Date:
Date of Birth (d/m/y):

Credit Card Information
  
 
Credit Card Holders Name:
Card Number:
Exp. Date:
Use this Card for Airline Tickets:
Use this Card for Hotel Guarantee:
Comments:

 

On January 1, 2004 , the third phase of the Personal Information Protection and Electronic Documents Act (PIPEDA) came into effect. This Act governs information collected as part of commercial activity by any private sector organization. It states that information must be gathered with consent, collected for a reasonable purpose, used for the limited purposes for which it was gathered, be accurate, be open for the owner's inspection and correction, and stored securely. Travel Edge (Canada) Inc. already maintains a high level of security with respect to the confidentiality of your records but we are now obligated by law to advise and obtain consent to the terms of the collection, distribution and storage of your data.

Confidentiality Agreement

With regard to the provisions of the Privacy Act, I hereby give my permission for Travel Edge (Canada) Inc. to maintain personal information already on file, and to collect further information for the purpose of contacting me by mail, fax, telephone and/or email with relevant information and other services Travel Edge (Canada) Inc. may offer. Travel Edge (Canada) Inc. requires personal information on individuals authorized to travel on behalf of a particular Client in order to complete travel arrangements requested by the individual, and Travel Edge (Canada) Inc. typically provides the Traveler's personal information to our computer reservation system or an internet booking engine, and to travel service suppliers such as airlines, hotels and car rental companies. The personal information transmitted by Travel Edge (Canada) Inc. to the various travel suppliers may include, such information as name, address, age, marital status, medical conditions, passport and visa information and corporate data that I have given you for the above purpose. Travel Edge (Canada) Inc. only transmits information that is relevant to the travel reservation. Travel Edge (Canada) Inc. can only transmit information that has been provided to us by the traveler and is stored on a confidential personal profile.

Travel Edge (Canada) Inc. full Privacy Policy is available for review on the site's footer.