Booking Form

To best assist you with your request, please fill out this form completely and we will contact you shortly.

Traveler Information

Please fill out this information as it appears on your ID (passport for international or drivers license for domestic)
Are you currently a member of Points Simplified? *
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Award Information

Please select the service(s) you are requesting: *
Please select the service(s) you are requesting: *

Please provide the programs you are a member of and how many points/miles in those programs to better assist us in getting you the best use of your points/miles.

Preferred class of service:
Room Preference

Trip Date and Time

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Flexible?
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Flexible?
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Flexible?
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Flexible?

Billing Information

Visa
Is your billing address the same as your address above? *



I hereby authorize Executive Travel to gain access to my frequent flyer miles, hotel points and credit card rewards and use them at my, the client’s, request and to charge my card for the services I select below. Once the ticket or reservation is made, no additional changes will be made by Executive Travel and the client will retain all rights and control over their ticket and reservation. Any information regarding your points and miles account will be kept strictly confidential and not be used for any other purpose other than booking your trip. *