VARIETY INTERNATIONAL CO., LTD.
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Username & Password
Please enter your username and password
Username
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Password
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Confirm password
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1. Business Information (Please Print Legibly)
Please enter name details exactly as they appear in your passport
Surname (Family Name)
*
First Name
*
Company Name
Position
Address
*
Business Address (For Ticket Delivery)
*
Traveler’s Business Extension
Mobile Number
*
Business Fax.
Traveler’s Home Phone
*
Email Address
*
Home Fax.
Give name of person making reservations, if not yourself
*
Your Travel Arranger
Your Travel Arranger’s Phone
2. Personal Information
Residential Address/ City/ State/ Postal Code
*
Home Phone Number
*
In case of emergency, please contact
*
Relationship
*
3. Airline Information
Seating Preference
Aisle
Window
Forward
Rear
Bulkhead
Non-Smoking
Smoking
Special disability requirements
YES
NO
Comments:
Frequent Flyer Information: Please complete to receive your frequent flyer points.
Airline and Membership Number
Airline and Membership Number
Airline and Membership Number
Airline and Membership Number
Special Meal Request
Diabetic
Low Fat
Fruit
Kosher
Seafood
Muslim
Vegetarian
Credit card details:
4. Car Information
Size Preference
Aisle
Window
Forward
Rear
Size Preference
Rental agency and Membership Number
Rental agency and Membership Number
5. Hotel Information
Memberships
Hotel Name
Membership Number
Hotel Name
Membership Number
Room Preference
Smoking
Non-Smoking
Smoking
Other Preference (Floor, Double, King, etc.)
6. Travel Document Information
Passport Number
*
Birth Dated: MM/DD/YY
Country of Birth
*
Country of Issue
*
Date of Issue: MM/DD/YY
Citizenship
*
Work Permit/Employment Pass Number
Date of Issue: MM/DD/YY
Expiry
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