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PhoenixMiles Application Form Of Air China
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

Family Name

 *
First Name *
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 *
Identify type
Members over 16 years of age must fill in Identify type and numbers*
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
Email Address *
Correspondence Address *
Company Address Information:
Company Name
Department Name
Country/Region
Province/State
City/County

Address/Box Number
Post/ Zip Code
FAX
Telephone extension
Home Address Information:
Country/Region
Province/State
City/County
Address/Box Number
Post/ Zip Code
FAX
Telephone extension
Please select your favorite seating and Dining, these are optional items.
Seating Selection Windows Middle Aisle 　
Smoking Smoking No Smoking 　
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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