E-Ticket

Name
Flight Reference Accommodation Reference Issue Date Last Name First Name Initial ET7514800 R5639 Thursday, February 26, 2004 Name Customer A

Items in this Travel Package

2 Airline Itineraries 1 Customs Form 1 Medical Declaration 0 Transfer Slip 4 Accommodation Information 5 Boarding Passes

The Airline Industries was formed to better meet the needs of frequent international travellers. That is why we offer you , as an Airline Industries Gold member, worldwide privileges, a seamless experience, and convenient global access. Along with our consistent focus on safety and security, we provide tangible benefits every time you travel with an Airline Industries carrier.

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Flights Travel Itinerary

Thursday, February 26, 2004

ET7514800
Airline Flight Date

Chicago IL to Los Angeles CA

2335

Any Airline
Departs Arrives Gate

03/26/2004
Terminal

7:15 AM

8:35 AM

34

Los Angeles CA to Sydney Australia

Airline

Flight Date

1223

Other Airline
Departs Arrives Gate

03/28/2004
Terminal

9:30 AM

6:30 AM

12

Sydney Australia to Auckland NZ

Airline

Flight Date

6534

Other Airline
Departs Arrives Gate

04/26/2004
Terminal

1:45 PM

5:35 PM

N/A

N/A

Auckland NZ to Los Angeles CA

Airline

Flight Date

2391

Other Airline
Departs Arrives Gate

04/30/2004
Terminal

10:00 AM

6:35 AM

N/A

N/A

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Flights Travel Itinerary

Thursday, February 26, 2004

ET7514800
Airline Flight Date

Los Angeles CA to Chicago IL

3445

Any Airline
Departs Arrives Gate

05/01/2004
Terminal

12:35 PM

5:00 PM

27

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

CUSTOMS USE ONLY

Welcome Department of the Treasury Customs Service

Customs Declaration
Each arriving traveler or responsible family member must complete the declaration. Only ONE written declaration per family is required.
1. Last Name 2. FirstName 3. Middle Initial

Name
4. Country of Citizenship

Customer
5. Country of Residence

A
6. Date of Birth (YY/MM/DD)

Any Country
7. Number of Family Members Traveling

Any State
8. Airline Flight Number

75/03/15 SPA 2391

1
9. Address

555, Any Blvd.

10. City 11. State/Province 12. Zip/Postal Code

Any City
13. Countries visited on this trip prior to your arrival

Any State

33567-1890
14. Trip Purpose

Australia New Zealand

15. Declaration of Goods

Business Pleasure

Yes a. Fruits, plants, meats, food, soil, birds, snails, other live animals, wildlife products, farm products; or have been on a farm or ranch outside the country. b. Currency or monetary instruments over $10, 000 U.S. or foreign equivalent. c. Commercial merchandise. d. The total value of all goods, including commercial merchandise, purchased or aquired abroad and bringing into the country.
16. Confirmation Number

No

DS763389

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Medical Declaration

Personal Information
Last Name First Name Middle Initial

Name
Home Address

Customer
Phone Number

A (613) 555-3676
Mobile Number

555, Any Blvd. Any City, Any State, 33567-1890

(613) 555-2256
SSN Date of Birth Sex Female Male

385-62-0364

March 15, 1975

Medical Information
Yes Asthma Diabetes Seizure Disorder Heart Disease Hypertension Pregnancy Medication required. No

Insurance Information
Insurance Company Address Any Insurance 274 Any Street Any City, Any State, 33572

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Hotel Broker Accomodations Name Customer

555, Any Blvd. Any City, Any State, 33567-1890

R5639

Any Airport Inn

Hotel Address

Room Type

H2364567

2767 Any Dr. Any City, Any State, 92617

Hotel Phone Number

Deluxe King Non smoking

Arrival Departure

2
Night(s)

1-800-555-9977

03/26/2004

03/28/2004

Any Sydney Hotel

Hotel Address

Room Type

GG36467

257 Any Road Any City, Any State

Hotel Phone Number

Deluxe King Non smoking

Arrival Departure

6
Night(s)

011 61 92565-9977

03/29/2004

04/03/2004

Any Auckland Inn

Hotel Address

Room Type

28K236

3200 Any Dr. Any City, Any State

Hotel Phone Number

Deluxe King Non smoking

Arrival Departure

2
Night(s)

011 42 8005 9980

04/26/2004

04/28/2004

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Hotel Broker Accomodations Name Customer

555, Any Blvd. Any City, Any State, 33567-1890

R5639

Any Auckland Hotel

Hotel Address

Room Type

278F54

2779 Any Road Any City, Any State

Hotel Phone Number

Deluxe King Non smoking

Arrival Departure

2
Night(s)

011 42 8745 3700

04/28/2004

04/30/2004

Any Airport Inn

Hotel Address

Room Type

H2364573

2767 Any Dr. Any City, Any State, 92617

Hotel Phone Number

Deluxe King Non smoking

Arrival Departure

1
Night(s)

1-800-555-9977

04/30/2004

05/01/2004

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Passenger Last Name

Passenger First Name

Frequent Flyer Number

Boarding Pass

Name
From

Customer
Destination

893DD23 Chicago IL

Los Angeles CA
Airline Flight Number

Any Airline
Flight Date Departure Time

3445
Gate Class Seat

May 1, 2004

12:35 PM

D-27

4C

Thank you for choosing Airline Industries

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Passenger Last Name

Passenger First Name

Frequent Flyer Number

Boarding Pass

Name
From

Customer
Destination

893DD23 Los Angeles CA

Auckland NZ
Airline Flight Number

Other Airline
Flight Date Departure Time

2391
Gate Class Seat

April 30, 2004

10:00 AM

1A

Thank you for choosing Airline Industries

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Passenger Last Name

Passenger First Name

Frequent Flyer Number

Boarding Pass

Name
From

Customer
Destination

893DD23 Auckland NZ

Sydney Australia
Airline Flight Number

Other Airline
Flight Date Departure Time

6534
Gate Class Seat

April 26, 2004

1:45 PM

3D

Thank you for choosing Airline Industries

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Passenger Last Name

Passenger First Name

Frequent Flyer Number

Boarding Pass

Name
From

Customer
Destination

893DD23 Sydney Australia

Los Angeles CA
Airline

Flight Number

Other Airline
Flight Date Departure Time

1223
Gate Class Seat

March 28, 2004

9:30 AM

C-12

3A

Thank you for choosing Airline Industries

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206

Passenger Last Name

Passenger First Name

Frequent Flyer Number

Boarding Pass

Name
From

Customer
Destination

DD27872 Los Angeles CA

Chicago IL
Airline Flight Number

Any Airline
Flight Date Departure Time

2335
Gate Class Seat

March 26, 2004

7:15 AM

D-34

3A

Thank you for choosing Airline Industries

Any reference to company names and company logos in the sample forms included in this software is for demonstration purposes only and is not intended to refer to any actual organization. etick220040206