Traveller Profile Form - LFC

Title*

Name*

First Name

Last Name

Your Company*

Employee Number

Home Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Mobile Phone*

Work Phone

Email*

Confirm Email *

Do you Travel Overseas on Club Business?*

Yes No

Name on Passport*

First Name

Last Name

Passport Number*

Passport Expiry*

Date of Birth*

Nationality*

Second Passport Details

if applicable

Meal Request

(only avaliable on selected services)

Flight Seating Preference

Frequent Traveller Membership Scheme

i.e. BA Executive Club, IHG Rewards etc

Membership Number

Frequent Traveller Membership Scheme 2

Membership Number 2

Frequent Traveller Membership Scheme 3

Membership Number 3

Frequent Traveller Membership Scheme 4

Membership Number 4

Frequent Traveller Membership Scheme 5

Membership Number 5

Other Loyalty Membership Schemes

Confirmation Email

If you would like an email to confirm this form has been submitted please input your address above

Terms and conditions*

By ticking this box I confirm that I have read and understood the important information below. By completing and returning this form to Gray Dawes I consent to my personal information being stored securely in our electronic system, if I am not the traveller I have the consent from the traveller for this information to be sent to and stored by Gray Dawes. The information contained within each profile is then transmitted to each travel provider utilised by you for your travel journeys booked by your company through Gray Dawes. Passport information may be requested by the airline so that they may transmit it to the flight destination country prior to travel. It is therefore essential that you notify Gray Dawes in writing of any changes to the information provided on this form. We will not be held responsible for any delay or resulting cost as a result of the information on this form being out of date or inaccurate.

Profile storage*

By ticking this box I confirm I understand that this information is stored by Gray Dawes Group until I advise otherwise in writing. In the event of this profile not being utilised for travel in one year, then the profile will be automatically deleted.

Authorisation*

By ticking this box I am confirming that I am the traveller or authorised by the traveller to provide this information to Gray Dawes Group. The email confirmation from this profile will serve to provide notification of receipt and storage of this information.

Forms will be processed within 2 hours of receipt, Monday- Friday 0900-1730.

Secure Traveller Profile Form