Smiles

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Please fill out the application below:

The enrollment at the Smiles Program is valid only for individuals.

Please, check the following example in order to properly fill out the fields "name" and "family name". Ex: João Maria S. da Silva. At the field "name", fill out: João Maria S. da. At the field "family name" fill out: Silva. In case your family name has a Junior, Sobrinho, Filho or Neto, you should fill out at the field "name": João Maria S. da and at the field "family name": Silva Júnior.

Fields with (*) are mandatory.

PERSONAL DATA
*Mr. Mrs.
*Name
*Family Name
*Date of Birth
ddmmyyyy
*CPF/CIC (national code)

*Country

*Street/Ave.
*Number
Complement
*District/Suburb
*City
*State
*ZIP
*Mailing Preferred Language
*E-mail
*Long distance call
*City Area Code (DDN)
*Telephone        Extension
Long distance call 
     
City Area Code (DDN)
Fax

BUSINESS DATA
Company
Long distance call
     
City Area Code (DDN)

Telephone          Ramal

Long distance call
  
City Area Code (DDN)
Fax

ADITIONAL DATA
Seat Preference

Special Meal Preference:
You can choose up to 3 options. To select more than one option, keep the ‘ctrl’ button pressed.

Which credit cards do you have:
You can choose up to 5 options. To select more than one option, keep the ‘ctrl’ button pressed.


Do you participate in other Airlines Award Programs? Which ones?
You can choose up to 5 options. To select more than one option, keep the ‘ctrl’ button pressed.

Upon sending this Application Form and once my admittance to the Smiles Mileage Program is accepted, I hereby declare to be bound by the provisions of the Smiles terms and conditions as entered with the Sixth Registry of Documents in the city of São Paulo, the content of which are available when clicking here. I further declare that the information contained in this Application Form is true and correct.

:: Smiles Mileage Program© 2008 ::
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