Peak Travel Group

Online Traveler Profile

Because we care about your specific travel preferences, please complete your personal travel profile as complete as possible. Your profile will then be uploaded and stored in our secure reservation system.

Personal Information

Full Legal Name:
* First Name:   
Middle:    * Last:   

*Gender:  Male      Female
* Date of Birth:      

* Company Name:
Dept Code:
Title:
Employee Number:
* E-Mail Address:
* Home Phone:
* Business Phone:
Cell Phone:

Business Address:
Street Address:
City, State Zip:

Home Address:
Street Address:
City, State Zip:

Emergency Contact:
Emerg. Contact Phone:


Admin. Assistant:
Admin's Phone:
Admin's E-Mail:
.* = Required Field

Passport Information
Passport Number:
Your Citizenship:
Legal Name as Printed on Your Passport:
Date of Expiration:
City Passport Issued:
Place of Birth

Airline Preferences & Frequent Flyer Information

Preferred Seating:
. Aisle . Window
Meal Requests:

Preferred Airport:
Preferred Airlines
Account Number
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Airline:
Frequent Flyer #
Note: The name on your ticket MUST match the name listed on your frequent flyer account to receive credit

Hotel Preferences & Frequent Guest Information

Room Type:
Non-Smoking Smoking
Bedding:
 King Bed 2 Double Beds

Special Requests:
Preferred Hotel Chains
Frequent Guest Number
Hotel Chain:
Account Number:
Hotel Chain:
Account Number:
Hotel Chain:
Account Number:
Hotel Chain:
Account Number:
Hotel Chain:
Account Number:

Rental Car Preferences & Express Rental Information

Preferred Car Size:
Economy Car
Compact Car
Intermediate Car
Full Size Car

Special Requests:
Preferred Rental Car Vendors
Express Rental
Personal ID Numbers
Car Company:
Personal ID #
Car Company:
Personal ID #
Car Company:
Personal ID #

Additional Information


Credit Card Information

Card Type
Account Number
Expiration Date
For Hotel Guarantee:
A Credit Card is Mandatory to Book Hotel Rooms

For Airline Tickets:

..Yes, please subscribe me to PeakMedia travel alerts and e-newsletter.

Note: Your information is delivered to Peak Travel via an encrypted format for your protection and security.
However, you may want to call us on the telephone with some fields such as credit card account numbers and passport information. Please understand Peak Travel Group assumes no responsibility for information being sent via the internet.




Note: Upon successful submission a "Thank You" page will display.


Peak Travel, 1723 Hamilton Ave. San Jose, CA 95125/ Toll-Free Phone: 800.737.9776
CST #2029626-40 / All Site Contents © 2011 / All Rights Reserved