Dairyland Traveler Profile Form

Dairyland Traveler Profile Form
Please list your full name as it appears on your valid government issued photo identification you will be using for travel. The name on your ticket must match the name on your ID or you may be denied boarding. No refunds are made for denied boarding.
First Name*
Middle Name*
If no middle name put NONE or NA
Last Name*
Are You REAL ID Ready?

The REAL ID act will go into effect May 7, 2025 which means that all US travelers must be REAL ID compliant to board domestic flights. Find out if you are REAL ID ready by visiting the Department of Homeland Security Site - Are You REAL ID Ready?
Birth Date*

MonthDayYear
Gender*
Redress Number
If you have one
TSA Pre-Approved #
If you have one
Global Entry #
If you have one
Passport Information

If you travel internationally please provide passport information for pre-travel transmission to the airlines.
Surname
Given Names
Passport Number
Nationality
Example: USA
Issue Date

MonthDayYear
Expiration Date

MonthDayYear
Issued by
Example: USA
Contact Information

In case of schedule changes we will attempt to contact you before and during travel. The more contact information you provide the easier that can be.
Cell Phone*

Area CodePhone Number
Do you accept text messages?*
Who is your cell phone provider?

AT&TT-MobileSprintVerizonOther
Business Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Business E-mail*
Additional E-mail
Other Contacts:
Credit Card Details

To complete your payment securely, please click the link below. You'll be directed to our secure payment portal where you can safely enter your credit card information.

Credit Card Payment Link
Please confirm you have clicked the link above to provide your credit card details*

Yes
Airline Information

Frequent Flyer Numbers, meal information, seat preferences.
Delta
United
American
Sun Country
Southwest
Other Frequent Flyer Accounts:
Meals:
Most airlines no longer accept meal requests but we will transmit them for you.
Seat Preference:
We will make every attempt to confirm seats but we cannot make any guarantee.
Hotel Information

A hotel room will be booked for you at the Marriott Courtyard. If you have a Marriott Rewards number, please enter it in the box below.
Marriott Rewards Number
If you have one
Do you have another hotel preference?*
Hotel of choice*
Car Information
Do you need a rental car?*
Vehicle preference*
Notes to agency
Any other travel related information you feel the agency should know to help us make your travel experience better.
Terms of Use and Signature:

By signing and submitting this form, I agree and acknowledge the information on this form is true and correct, and that I have read and understand the Terms of Use of the information provided.
Signature of Person Submitting the Form*

Clear
Should be Empty:

Dairyland Traveler Profile Form

Passport Information

Contact Information

Airline Information

Hotel Information

Car Information

Terms of Use and Signature: