Traveler Information
Thank you for saying yes to our invitation. As we prepare for your travel, please provide us with as many details as possible. We look forward to seeing you soon.
Traveler's Legal Name
First Name
Middle Name
Last Name
Personal Address*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Address*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Date of Birth*
-
Month
-
Day
Year
Date
Birth Information
City, State and Country of Birth
Passport/Visa Information
Country of Issuance and Reference #
What is your departure city and/or airport code?
Prefereed Airline(s) and Frequent Flyer Number(s)
Example - Delta Airlines #23456789
Airline Seat Preference (check all that apply)
First Class Only
Business Economy Only
Exit Row
Window
No Middle Seat
No Bulkhead Seat
Hotel Preference and Corresponding Rewards Programs (Domestic Travel Only)
Example - Hilton Properties #2345678
Favorite Foods
Favorite Drinks
Any allergies or dietary restrictions?
Allergic to nuts, wheat sensitivities, etc.
Promotional Items and Setup Support Required
(i.e. Books for purchase, will need a six foot table.)
Emergency Contact Information
Please complete the following information for someone we can reach in the event of an emergency.
Emergency Contact
First Name
Last Name
Emergency Contact Relationship
Spouse, Mother, Etc.
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Email
example@example.com
What other information would you like to share with VJAIM?
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