Preferred Travelers Club Application Form

If you would like to join the "Preferred Travelers Club" fill out the form below or print it out and mail it to us at:
Diversified Travel Management, 1443 Del Prado Blvd., Cape Coral, FL 33990
It will take 1-2 days for you to be assigned a member number (OA).
Once it is assigned, you may start making your travel reservations.

First Name:                  

Last Name:                   

Company:                     

Address:                     

City:                        

State:                       

Zip Code:                    

Country:                     

Email Address:               

Federal ID If Corporation:

Please choose which program you want to join. If you are joining our corporate plan, please send us a list of all your employees so we can add them to your member number.

Individual Plan $49.00
Corporate Plan $98.00 

Credit Card Number:          

Exp Date:

If you are a Link Exchange Member fill out this area below. Remember the number begins with a "X".

LinkExchange Member Number:

Comments:

Thank You for joining "The Preferred Travelers Club".
We look forward helping you make all your travel arrangements.

Copyright ©1997 - Michael Skweir & Diversified Travel Management
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