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MEMBERSHIP ENROLLMENT _ RENEWAL FORM - Caribbean Airlines

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MEMBERSHIP ENROLLMENT _ RENEWAL FORM - Caribbean Airlines Powered By Docstoc
					ENROLLMENT / RENEWAL Please tick one:                                Enrollment                  Renewal

You may pay by cash, cheque or credit card at any Caribbean Airlines Ticket Office.
Kindly make cheques payable to: Caribbean Airlines.

Payment options: Payment may be made in equivalent local currency.
Members Fee Paid; Please tick one:

     One Year Individual                                                                                          IERE HOUSE, GOLDEN GROVE ROAD,
     -US$350.00                                                                                                   PIARCO, TRINIDAD W.I.
                                                                                                                  Trinidad:                       (868) 625 7200
     Individual & Co-applicant                                                                                    Tobago:                         (868) 660 7200
                                                                                                                  Caribbean (Toll free):          (800) 744 2225
     - US$615.00                                                                                                  (includes Guyana, Barbados,
                                                                                                                  St. Lucia, Antigua and Jamaica)
     Corporate for 6 or more members                                                                              Suriname:       (597) 52 0034 or (597) 52 0035
     -US$300.00 per person                                                                                        U.S.A. and Canada (Toll free) : (800) 920 4225
                                                                                                                  Fax:                            (868) 669 5941
                                                                                                                  Email:             club@caribbean-airlines.com
                                                                                                                  Simply complete the enrollment form, and send
Government Taxes (VAT) where applicable must be added to the above fees.                                          by hand, or enroll in person at your nearest
Membership fees are not refundable.                                                                               Caribbean Airlines Office together with the
                                                                                                                  applicable fee. Your temporary Membership
                                                                                                                  card will be issued immediately.




USEFUL INFORMATION
• All cheques must be made payable to Caribbean        • Please note that Club Caribbean Membership is an
  Airlines. Cash should not be forwarded by mail.        individual one. Cards are not transferable, and travel
  Credit Card payments must be made at the               benefits will be extended to the individual whose
  nearest Caribbean Airlines office.                       name is imprinted on the card when travelling on
                                                         Caribbean Airlines. The card may also be used by the
•The Individual Annual fee is US$350 or local            holder to obtain local privileges, in which case, you
  equivalent. Discounts are available for family         may be required to sign as a recipient of the benefits
  members on joint submissions at an annual fee          for identification purposes.
  of US$615.                                                                                                      IERE HOUSE, GOLDEN GROVE ROAD,
                                                       • Family means spouse, child, parents, brother or sister   PIARCO, TRINIDAD W.I.
• All companies are eligible for Corporate discounts     (all applicants must be 16 years and over).              Trinidad:                       (868) 625 7200
  when signing up six (6) or more staff members at                                                                 Tobago:                         (868) 660 7200
  the same time. The applicable fee is US$300. per     Should information provided on this application be         Caribbean (Toll free):          (800) 744 2225
  member, or local equivalent                          deliberately falsified, Caribbean Airlines reserves the     (includes Guyana, Barbados,
                                                       right to immediately terminate the Club Caribbean          St. Lucia, Antigua and Jamaica)
                                                       Membership and withdraw the related services.              Suriname:       (597) 52 0034 or (597) 52 0035
                                                                                                                  U.S.A. and Canada (Toll free) : (800) 920 4225
                                                                                                                  Fax:                            (868) 669 5941
                                                                                                                  Email:             club@caribbean-airlines.com




                                                                  MEMBERSHIP ENROLLMENT
                                                                     & RENEWAL FORM
MEMBERSHIP ENROLLMENT / RENEWAL FORM                                                                             Please tick one:                Enrollment              Renewal
Please complete this form:
Please tick one:                     Mr.                  Mrs.                Ms.               Dr.              Other:
First Name         (Same as passport)                                                   M.I.    Last Name         (Same as Passport)


Business title                                                                                  Business name


Business address (No. and Street)                 City/Town/State                                                     Country                                 Zip Code


Home address (No. and Street)                     City/Town/State                                                     Country                                 Zip Code

Business telephone               Home telephone                   Mobile telephone              Business email address                      Personal email address


Passport No                                 Nationality                                         Date of birth (DD/MM/YY)                    Club Caribbean/Caribbean Miles No.


Mailing preference:                         Home                  Business                      Imprint my baggage tags with:               Home              Business


Complete section below only if you are requesting membership for a co-applicant:

Please tick one:                     Mr.                  Mrs.                Ms.               Dr.              Other:
First Name         (Same as passport)                                                   M.I.    Last Name         (Same as Passport)


Business title                                                                                  Business name


Business address (No. and Street)                 City/Town/State                                                     Country


Home address (No. and Street)                     City/Town/State                                                     Country

Business telephone               Home telephone                   Mobile telephone              Business email address                      Personal email address


Passport No                                 Nationality                                         Date of birth (DD/MM/YY)                    Club Caribbean/Caribbean Miles No.


Relation to applicant:              Spouse            Parent                  Brother           Mailing preferences:                        Home              Business

                                        Sister             Son               Daughter           Imprint my baggage tags with:               Home              Business
I agree to abide by the terms and conditions of the Club Caribbean programme as communicated to me from time to time. I acknowledge that Caribbean Airlines Ltd.
may modify or cancel this programme without notice. I hereby declare that the above information is true, and Caribbean Airlines Ltd. reserves the right in its absolute
discretion to cancel membership if the information provided is false. Caribbean Airlines Ltd. shall not be liable for any loss or damage resulting from such cancellations.


Signature (Applicant)                                                      Signature (Co-Applicant)                                                 Date

For office use only: (to be completed by Caribbean Airlines agent on receipt of payment)

Form of payment:                             Cheque                Cash              Credit Card                                            Station:


Receipt No.:                                                           Credit Card Name:.                                                   Date:


Credit Card No.                                                        Amount Received:                                                     Initials:




THE BENEFITS WHEN TRAVELLING ON CARIBBEAN AIRLINES LTD.

• Access to hospitality lounges for members and one              • Limited waiver of applicable fee for flight and               • 10% discount at Caribbean Airlines Gift Shop
  travel companion per member (16 years and over)                  date changes.                                                  at Piarco International Airport, Trinidad.
                                                                 • Access to Business Centre - i.e. PC's/Internet/              • Two personalised baggage tags *.
 Antigua              Guyana        Miami
                                                                   faxes/copies.                                                • One family member can be a co-applicant.
 Barbados             Suriname      New York                     • Special priority status for fully booked flights.             • Automatic enrollment in the Caribbean Miles
 Kingston                           Toronto                      • Priority status on all stand by flights at the                  programme and 500 Bonus Miles.
                                                                   airport.                                                     • Discounts, room upgrades and other special
 Toronto                                                         • Preferential airport check-in.                                 services at partner hotels.
                                                                 • Priority baggage handling and boarding.                      • Free membership in Hertz #1 Club Gold car
 St. Maarten                                                                                                                      rental programme for enrollments.
 Trinidad
                                                                                                                                * Not applicable for first renewal

				
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