ENROLLMENT / RENEWAL Please tick one: Enrollment Renewal

You may pay by cash, cheque or credit card at any 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 (868) 626 6125

- US$650.00 Tobago: (868) 660 7200

Caribbean (Toll free): (800) 744 2225 S(int.clu Ludecias, GAnutyigaunaa ,a Bnadr Jbamdoas,ic a) Corporate for 4 or more members : (597) 52 0034 or (597) 52 0035 -US$300.00 per person U.S.A. and Canada (Toll free) : (800) 920 4225 Email: [email protected]

Simplycomplete the enrollment form, and send by hand, or enroll in person at your nearest Government Taxes (VAT) where applicable must be added to the above fees. Caribbean Airlines Office together with the Membership fees are not refundable. applicable fee. Your temporary Membership Please note payment in CANADA accepted only in CAD$ at applicable cardwill beissuedimmediately. rate of exchange.

USEFUL INFORMATION • All cheques must bemadepayableto Caribbean • Please note that Club Caribbean Membership is an Airlines. Cashshouldnot beforwarded bymail. individual one. Cards are not transferable, and travel Credit Card paymentsmust bemadeat the benefits will be extended to the individual whose nearest CaribbeanAirlinesoffice. 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 for identification purposes. fee of US$650. 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 or (868) 626 6125 when signing up four (4) or more staff members Tobago :( 868) 660 7200 at the same time. The applicable fee is US$300. Should information provided on this application be Caribbean (Toll free) :( 800) 744 2225 per member, or local equivalent deliberately falsified, Caribbean Airlines reserves the (includes , , right to immediately terminate the Club Caribbean St. Lucia, and ) Suriname: (597) 52 0034 or (597) 52 0035 Membership and withdraw the related services. U.S.A. and Canada (Toll free) :( 800) 920 4225 Email:[email protected]

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) Busin ess titl e Busin ess 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:

BFiurstsin Neassm teitl e (Sam e a s pa sspor t) M.I. Last Name (Same as Passport) 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 programmeas 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 theabove information is true, and Caribbean Airlines Ltd. reserves the right in its absolute discretionto cancelmembership if the information provided is false. Caribbean Airlines Ltd. shallnot be liablefor any loss or damageresulting from such cancellations.

Signature (Applicant) Signature (Co-Applicant) Date

(to be completed by Caribbean Airlines agent on receipt of payment)

Form of payment: Cheque Cash Credit Card Station:

ReceiptNo.: Credit Card Name:. Date:

MCO number. Amount Received: Initials:

• 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/ Antigua Guyana • Two personalised baggage tags *. 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 • Priority status on all stand by flights at the programme and 500 Bonus Miles. Kingston airport. • Discounts, room upgrades and other special • Preferential airport check-in. Toronto services at partner hotels. • Priority baggage handling and boarding. • Free membership in Hertz #1 Club Gold car rental programme for enrollments. St. Maarten

Trinidad * Not applicable for first renewal