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Please fill out the application below

For security reasons, we ask you to fill in your data again. We will soon send you your Smiles electronic card and a password activation code to the email registered below.

Fields with (*) are mandatory.

*First and Middle names:

Example: John H. Lark

*Last Name: enter only the last surname

Example: Smith. If the name has Junior, II or III, please enter it in this field

*Gender:

Female Male

*Date of Birth: format YYYY/MM/DD

*Origin Country: nationality

*Taxpayer Number: only numbers, fill in if Brazilian

This field is not obligatory for minors

*ID Number: fill in if Brazilian

This field is not obligatory for minors

*Residence Country:

*Zip Code: only numbers, for residents in Brazil

find my CEP

*Address Home:

*Number:

Complement:

Neighbor:

*State:

*City:

*Home Phone:

Intl.Code:

Area Code:

Number:

Home Phone 2:

Int.Code:

Area Code:

Number:

Mobile Phone:

Intl.Code:

Area Code:

Number:

Mobile Phone 2:

Intl.Code:

Area Code:

Number:

*Marital Status:

*Number of children:

Spouse's First and Middle names:

Example: John H. Lark

Spouse's Last Name:

Example: Smith. If the name has Junior, II or III, please enter it in this field

*Your Mother's First and Middle names:

Example: Mary P. Robinson

*Your Mother's Last Name:

Example: Fisher

*Education:

*Profession: table equivalent to the Brazilian Federal Internal Revenue

Company:

Position:

Comercial Phone:

Int.Code:

Area Code:

Number:

Extension:

*Monthly Income

*Private E-mail:

Commercial E-mail:

Preferential E-mail:

Private Commercial

*Correspondence language:

Portuguese English Spanish

How do you prefer to be called?

Do you participate in other mileage programs?

yes no

Tick the mileage programs in which you also participate:

Aadvantage (American Airlines)
Amigo (Ocean Air)
Fidelidade Tam (Tam)
Flying Blue (Air France/KLM)
Miles & More (Lufthansa)
Tap Victoria (Tap Air Portugal)
Lanpass (Lan)

Seat preference: Aisle Window
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Smiles Number

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