FEMA Traveler Profiles for

Please take a few minutes to build a traveler profile with National Travel to help us provide service tailored to your needs and preferences.

Name:(last, first, middle initial)

FEMA: Region/Organization Name:

Department:

Title/Postion:

Ticket Delivery Address:

Room Number:

City:

State:

Zip:

Home Address:

City:

State:

Zip:

Business Phone:

Home Phone:

Fax:

Email Address: (Your INTERNET address.)
For example: yourname@fema.gov
 If you do not have your own email address, please send an email request to fematmc@nationaltravel.com. Please provide an address and a fax number and a form will be sent to you.
Physical Restrictions:

Travel Arranger/Assistant:

In Case of Emergency Notify:

Telephone:

Airline Ticket Form of Payment:

Credit Card Number:
Expiration Date:

Hotel and Car Rental Form of Payment:

Credit Card Number:
Expiration Date:

I hereby authorize National Travel, Inc. to charge any transactions requested by me via telephone, facsimile or letter, to my credit card(s) listed.

Seat Preferences (check all that apply:)


aisle
window
forward cabin
Rear Cabin
nonsmoking
smoking
other

 Special Meal Requirements:

diabetic
low sodium
kosher
vegetarian
low calorie
low cholesterol
other

 International Information:

Passport:

Expiration Date:

Place of Issue:

Citizenship:

Birthdate:

Frequent Flyer Memberships:
Airline and ID Number:




Hotel Club Memberships:
Hotel Chain and ID Number:




Car Rental Club Memberships:
Car Rental and ID Number: