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TRAVELER PROFILE
Affinity Travel Group
Email address *
Your Name (as it appears on your passport) *
Are you a group leader? If yes what is the name of your group?
If applicable what is the potential number of travelers in your group?
Travel Dates
Travel to do good destination
Date of Birth
MM
/
DD
/
YYYY
Address
City, State Zip
Do you have a Passport?
Passport Country of Issue and Passport Number
Passport Expiration Date
Emergency Contact Name and Number
Emergency Contact Relationship
Please disclose any known food allergies
Gluten Free?
Vegetarian?
Vegan?
Employer
Position
Cell Phone
Office Phone
Home Phone
REWARDS PROGRAM
Include applicable names and #
Airline
Hotel
Rental Car
Which social media do you use?
Attach copy of passport
A copy of your responses will be emailed to the address you provided.
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