Travel Request

Section 1: Organization & Program Coordinator Information
Date*
Month
Day
Year
Name*
First Last
FEIN or Tax ID (for Businesses) | Charities, Churches & Not-for-Profits ID(Enter your ID) | Businesses (Enter your FEIN) | Personal Referral Partners (Enter your SSN)*
Social Security Number (Enter, your SSN if you are not a business or if you are signing up as a Personal Referral Partners Clients). If you have entered your FEIN or NFP ID above re-enter it here. This block must be filled out!*
Business or Organization Official Name or Future Name*
Business Mailing Address*
Telephone*
Email*
Enter Email Confirm Email
Business FAX*
Business Phone Number*
What program would you like to join:*
- Affiliation Association On Vacations (AAOV) - Networking Groups | Associations | Civil Groups | Clubs | Little Leagues | Boy Scouts
- Corporate (Businesses & Corporations)
- Groups of Vacations (GOV) - Social Groups
- Non-Profit Fundraising While on Vacation (NPFOV)
- Personal Travel Referral Partner (referring family & friends)
- Religious Organization Donation Program (ROD)

SECTION 3: APPLICATION CUSTOMER SIGNATURE AND PERSONAL INFORMATION
Personalized Services International, LLC is not liable for Travel Referral Program (TRP) not reporting their referrals to us. However, we will do our very best to ensure you receive your commission payments as part of you signing up for this FREE program. If you are referring a client to our company you are required to send us an e-mail including your client or personal referral with your TRP account number so we can ensure your membership account is credited. Please note commission or Referral payments are not paid until 30 days after your referrals have completed their travel or vacation or after we are paid the commission associated with this booking.

Please complete your home address below if it is not the same as your business or organization’s address section 1 of this form:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency point of contact Name:*
Emergency Contact Telephone Number:*
Email address:*
Final Application Signature:*

By typing in your name as it is shown on your government ID, you agree to all the Guidelines, Terms and Conditions of our TRP. You have an opted to download the application form from the link on this page please mail it to: Personalized Services International, LLC, ATTN: Travel Agency Division, 117 East State Street, Suite B, O’Fallon, IL. 62269. If you have additional questions feel free to contact us at 1-866-774-4077 | (618) 589-9330 | (314) 549-8979. You can download the application from the link on this webpage and then FAX it to 1-877-774-5177.
Date*
Month
Day
Year
Comments
This field is for validation purposes and should be left unchanged.

Travel Referral & Rewards Program Application

Step 1 of 3

Section 1: Organization & Program Coordinator Information

SECTION 2: IRS-1099 REQUIREMENT & REPORTING AGREEMENTS

SECTION 3: APPLICATION CUSTOMER SIGNATURE AND PERSONAL INFORMATION