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NOTES
1.According to requirement of China Post Office, passengers with address in china will have to fill in the form in Chinese.
2.For accurate recording of your mileage, names written in Application Forms must be the same as appeared on the tickets.
3.You must fill in the items with mark *.
Basic Information
Fill in the blank below with the personal information of phoenix card holder who applies phoenix junior card for his or her kid
Parent's phoenix card number of phoenix junior applicant Please fill in the parent's phoenix card number of the phoenix junior applicant*
Fill in the blank below with the personal information of phoenix junior card holder

Family Name　　

 Please fill in the Last Name of the junior phoneix card holder*
First Name　　 Please fill in the First Name of the junior phoneix card holder*
surname in chinese must be fill in by Chinese character
first name in chinese must be fill in by Chinese character
Sex　　　　　　　
*
Date of birth Year Month Day *Must be under 12 years old
Identify type　　　　
Must fill in the type and number of the applicant's identity card*
Identify No.　　　　 *
Nationality　　　　　　　 *
Language　　　　　　　 *
Password　　　　　　　 Must be six digits*
Reenter password *
Hint Question for reset password
Answer of Hint Question for reset password

Member's contact information:
Mobile Phone *
E_mail Address 　　 *
Home Address Information:
Country/Region
 *
Province/State
*
City/County
 *
Address/Box Number
 *
Post/ZipCode *
FAX
Telephone extension *
Please select your favorite seating and Dining, these are optional items.
Seating Selection Windows Middle Aisle 　
Dining Moslem Memu Vegetarian meal Chinese Meal Western Meal Diabetic Meal

The Undersigned agree to abide the rules and regulations of the PhoenixMiles Program, which may be changed and amended from time to time.
　

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