Enrollment Form

Within 8-12 weeks after your enrollment we will post your Member Kit, including your permanent Member Card and a complete Member Guide explaining all the program rules. Complete the application form, and fly BWIA and other partner airlines.

You can forward your ticket coupons and boarding passes for your return trip you have recently made on BWIA over the past six months. Miles will be credited to your account immediately.


Title: *  
First Name: *  
Last Name: *  
Mailing Address: *  
   
City : *  
State :  
Country : *  
Zip / Postal Code :  
Home Telephone : *    (e.g. 868-669-3000)
Business Telephone :  
Mobile Telephone :  
Email Address : *  
Occupation :  
I also belong to these frequent flyer programs
(click those which apply)
American  British Airways  Other  
I travel round trips annually, primarily for :
Business  Pleasure 
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