* * *
Site Search: Go!
 
 


 
You may also print this form and mail or fax to the address above.
Click here for Printable Form


Please checkmark the airline from which you would like to donate your miles.
Place Checkmark Below:
 
Airline:
Guidelines:
 
AirTran Airways
No Minimum Donation
 
American Airlines
250 Mile Increment
 
British Airways
1000 Mile Minimum
 
Continental Airlines
*You may call (713) 952 -1630
Visit www.continental.com or >>>
No Minimum Donation
*We can handle the donation for you
but you must include PIN # below.
 
Delta Airlines
5000 Mile Minimum
 
Northwest Airlines
*Please call (800) 327-2881 >>>
5000 Mile Minimum
1000 Mile Increments
*Donations are only accepted via the
phone system and donors must input
their PIN #.
 
United Airlines
1000 Mile Minimum
 
US Airways
5000 Mile Minimum
1000 Mile Increments
     
First Name:  

Middle:  

Last Name:  
Street Address:  
City:  

State:  
Zip:  

Home Phone:  
Work Phone:  
Cell Phone:  
Email Address:  

     
Travel Agency You Were Referred By:  
     
     
I Would Like to Donate the Following Number of Miles From My Account*:  
* Northwest: Please fill out this form for our records, but call your miles in at: (800) 327-2881.
* Continental: If you call (713) 952-1630 or visit www.continental.com to make your donation, please also fill out this form for our records.
     
     
Account Number:  
PIN #*:  
Signature:
(Type in Your Name)
 
Date:  
     
 
 
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