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(952)835-2724
Implementation
Sales Rep
*
Select Your Name
Amy
Val
Agent
Denise
Lisa
Email
Client is TESTING with Blue Ribbon:
*
Yes
No
Company Name
*
Account CA
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
ex. format 2223334444
Fax
ex. format 2223334444
Tax ID #
Contact for Travel
First
Last
Email
Phone
ex. format 2223334444
Add to Email List
*
Select One
Corporate
Leisure
Corporate & Leisure
None
Contact for Reports
First
Last
Email
Phone
ex. format 2223334444
Management Reports
*
Yes
No
Sort Fields Used
*
Yes
No
Creative Ticketing Liability Agreement Signed
*
Yes
No
Additional Contact
First
Last
Email
Additional Contact
First
Last
Email
Lead Agent Assisted Agents assigned to Account
Select Name
Denise
Di
Jackie
Jamie
Jenna
Joleen
Kari
Katie
Kristin
Lindsey
Lisa
Michelle
2nd Agent Assisted Agents assigned to Account
Select Name
Denise
Di
Jackie
Jamie
Jenna
Joleen
Kari
Katie
Kristin
Lindsey
Lisa
Michelle
3rd Agent Assisted Agents assigned to Account
Select Name
Denise
Di
Jackie
Jamie
Jenna
Joleen
Kari
Katie
Kristin
Lindsey
Lisa
Michelle
Online Tool Information
Which Online Booking Tool?
Select One
Deem
Concur
Concur Only Questions
Number of Employees
How is Payroll processed? (i.e. Paychex, ADP, etc.)
Current Expense Reporting Process (i.e. SAP Travel Management in-house, web based expense solution, finance reporting software, manual spreadsheets, etc.)
Monthly Expense Volume
Select One:
<100
100-499
500-1000
>1000
Current Booking solution? (Agent Assisted, Internet, Deem, NuTravel, etc.)
Lead Online Agents assigned to Account
Select Name
Di
Jackie
Jamie
Jenna
Kari
Katie
Kristin
Lindsey
Michelle
2nd Online Agents assigned to Account
Select Name
Di
Jackie
Jamie
Jenna
Kari
Katie
Kristin
Lindsey
Michelle
3rd Online Agents assigned to Account (There will always be 3)
Select Name
Di
Jackie
Jamie
Jenna
Kari
Katie
Kristin
Lindsey
Michelle
Agent Assisted Service Fee
*
Online Agent Assisted Service Fee
Southwest Direct Online Booking Fee
No Touch Online Service Fee
Land Only Fee
Monthly Service Fee
*
Yes
No
All-Inclusive
*
Yes
No
Form of Payment
Select One
Individual Cards
Visa
Master Card
American Express
Discover
Credit Card Number
Expiration Date
i.e. 11/14
Air Only Card?
Yes
No
Type of Credit Card
Select One
Corporate
Personal
Card Holder
First
Last
Power of Attorney Form Signed
Yes
No
Terms & Conditions Form Signed
Yes
No
AIRLINE PROGRAMS
1st Airline Program
Select One
Delta Sky Bonus
United Perks Plus
American Business ExtrAA
AirTran A2B
Southwest Rapids Rewards
Sun Country UFly Rewards
1st Airline Program Account #
2nd Airline Program
Select One
Delta Sky Bonus
United Perks Plus
American Business ExtrAA
AirTran A2B
Southwest Rapids Rewards
Sun Country UFly Rewards
2nd Airline Program Account #
3rd Airline Program
Select One
Delta Sky Bonus
United Perks Plus
American Business ExtrAA
AirTran A2B
Southwest Rapids Rewards
Sun Country UFly Rewards
3rd Airline Program Account #
CAR PROGRAMS
Primary Car Program
Select One
Alamo Insiders
Avis Preferred
Budget Fastbreak
Dollar 4 Business
Enterprise Plus
Hertz Gold Plus Rewards
National Emerald Club
Payless Perks Club
Thrifty Smart Biz
Primary CD#
Primary Rate
Special Instructions
2nd Car Program
Select One
Alamo Insiders
Avis Preferred
Budget Fastbreak
Dollar 4 Business
Enterprise Plus
Hertz Gold Plus Rewards
National Emerald Club
Payless Perks Club
Thrifty Smart Biz
2nd CD#
2nd Rate
2nd Direct Bill #
Special Instructions
3rd Car Program
Select One
Alamo Insiders
Avis Preferred
Budget Fastbreak
Dollar 4 Business
Enterprise Plus
Hertz Gold Plus Rewards
National Emerald Club
Payless Perks Club
Thrifty Smart Biz
3rd CD#
3rd Rate
3rd Direct Bill #
Special Instructions
HOTEL INFORMATION
Hotel Program
Select One
Club Carlson
Choice Privileges
Hilton Honors
Hyatt Gold Passport
InterContinental Priority Club
Marriott Rewards
Starwood Preferred Guest
Other
Hotel CD #
1st Negotiated Hotel
1st Rate
2nd Negotiated Hotel
2nd Rate
3rd Negotiated Hotel
3rd Rate
Notes:
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