Miles for Heroes Aadvantage® Donation Form

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American Airlines® Miles For Heroes AAdvantage® Donation Form Thank you for supporting the American Airlines Miles for Heroes program, benefiting our wounded and injured members of the U.S. armed forces and their families. Your generous donation of 500 miles or more will help provide travel for convalescent leave for these service men and women and/or family members and close friends of such military personnel. (Please print all information, except your signature). Full Name (as it appears on your AAdvantage account) ________________________________________________________________ AAdvantage Account # __ __ __ __ __ __ __ Phone Number (____) __________ Number of Miles Donated __________________________________________ Signature (for faxed requests only) ________________________________________________________________ Please FAX or Email the Miles for Heroes AAdvantage donation form to: Miles for Heroes American Airlines AAdvantage Department Fax: 817-963-7882 Email Address: [email protected] Terms and Conditions All donation requests must be faxed or received via email between 6:00 a.m. (ET) on Friday, May 25, 2007 and 11:59 p.m. (ET) on May 28, 2007 in order for your donation to be matched by American Airlines. All other donations received will be processed, but will not be matched by American Airlines. Miles contributed to this program cannot be designated for specific military personnel. Upon completion of the donation request, the donor transfers all rights to the specified number of miles to the American Airlines Miles for Heroes program. The Fisher House Foundation, Inc., will redeem donated miles in strict accordance with U.S. Department of Defense regulations established pursuant to 10 U.S.C. §2613. A minimum of 500 miles per donation is required. Donated miles are not tax deductible. For additional details, visit www.aa.com/heromiles or www.fisherhouse.org. American Airlines, American Eagle, AmericanConnection, AAdvantage and AA.com are marks of American Airlines, Inc. American Eagle is American's regional airline affiliate. AmericanConnection is American's airline associate. AmericanConnection service is operated by Chautauqua Airlines, Inc. or Trans States Airlines, Inc., each of which operates as an independent contractor. American Airlines reserves the right to change the AAdvantage program rules, regulations, travel awards and special offers at any time without notice, and to end the AAdvantage program with six months notice. American Airlines is not responsible for products and services offered by other participating companies. For complete details about the AAdvantage program, visit www.aa.com. heroMilesDonationForm_052307 (2)7 .

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