® American Airlines Disaster Relief “Miles to Move Forward” ® AAdvantage Donation Form Thank you for supporting the American Airlines “Miles to Move Forward” program, benefiting those individuals affected by recent disasters. Your generous donation of 1,000 miles or more will help provide assistance with transportation for those affected individuals. (Please print all information except your signature). Name___________________________________________________________ AAdvantage Account __ __ __ __ __ __ __ Phone number (____) __________ Number of Miles Donated __________________________________________ Signature Please mail or fax the Miles to Move Forward AAdvantage donation form to: Disaster Relief “Miles to Move Forward” American Airlines AAdvantage Department P.O. Box 619688 DFW Airport, TX 75261-9688 Fax: 817-963-7882 Terms and Conditions All donation requests must be faxed or postmarked by December 31, 2005. Miles contributed to this program cannot be designated for specific individuals. Upon completion of the donation request, the donor transfers all rights to the specified number of miles to the American Airlines Miles to Move Forward program. A minimum of 1,000 miles per donation is required. Donated miles are not tax deductible. For additional details, visit www.aa.com/disasterrelief or www.unitedway.org/katrina 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 Trans States Airlines, Inc., Chautauqua Airlines, Inc., or Regional 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. .