Buy Miles / Miles Transfer Form

Buy Miles / Miles Transfer Form
Present this form at the Mabuhay Miles Service Center (MMSC) or your preferred Philippine Airlines (PAL) or PAL
Express (2P) Ticket Office. Kindly accomplish this form, and submit it together with the requirements listed below. Your
authorized Travel Coordinator/Legal Guardian may request for Buy Miles or Miles Transfer on your behalf. Only completely
accomplished and signed forms with the required documents will be processed.
Please update the following only if there are changes
Mabuhay Miles membership number
Name (as printed on membership card)
(Country code)
First Name
Contact No.
Middle Name
Mobile No.
Last Name
Email Address
(Area Code)
(Telephone Number)
@
Do you need additional Miles for your flight award or wish to transfer your Miles to another Member’s account? If you have at
least 50% of the required Miles for redemption, you can buy Miles at US$25 per block of 1,000 Miles. Likewise, you may
transfer your Miles to another member’s account at a minimum of 1,000 Miles. Miles Transfer costs US$15 per 1,000 Miles per
transaction. Miles purchased or transferred must be used against the requested flight award. Purchased or Transferred
Miles do not count towards elite-level status and cannot be reversed to the Members account. Maximum Miles you can
purchase or transfer per calendar year is 30,000 Miles. Recipient may receive a maximum of 30,000 Miles per calendar year.
Please refer to www.mabuhaymiles.com for more details.
BUY MILES REQUEST
Top Up Miles (Miles to be added to your Mabuhay Miles account) Total Miles ________________
Amount US$ __________________
Gift Miles (Miles to be added to another member’s Mabuhay Miles account) Beneficiary’s Name _____________________________________
First
Beneficiary’s Mabuhay Miles membership number ____ _________________
Total Miles ________________
Middle
Last
Amount US$ _______________________
Total Miles Purchased ____________ Processing Fee (US$10) ____________ Applicable Taxes ______________
Total Amount US$ _________________
MILES TRANSFER REQUEST
Beneficiary’s Name _______________________________________
First
Middle
Last
Beneficiary’s Mabuhay Miles membership number ____________________
Total Miles to be transferred (minimum of 1,000 Miles) _____________________
Total Miles Transferred ___________ Processing Fee (US$10) ____________
_________________
Applicable Taxes ______________
Total Amount US$
Requirements
Present original and submit photocopies of the following documents to
facilitate:
Member’s Mabuhay Miles membership card (optional)
Valid ID with photo and signature of Member/ Travel Coordinator /Legal
Guardian** and Beneficiary (eg. Driver’s License/ Passport)
Valid ID with photo and signature of authorized representative
IMPORTANT
I understand that Philippine Airlines/ PAL Express will only process Buy
Miles and Miles Transfer in accordance with the Terms and Conditions set
forth and stated in the Mabuhay Miles website. My signature below also
certifies that I will pay taxes and processing fees, where applicable.
Signature over printed name of Member or
authorized Travel Coordinator/Legal Guardian
**For minors aged 2-17 years old
Date
This portion is to be filled by the Mabuhay Miles Member/Travel Coordinator/Legal Guardian/Beneficiary when requesting for Buy Miles and Miles Transfer thru an authorized representative.
Buy Miles and Mile Transfer by Authorized Representative
NAME OF AUTHORIZED REPRESENTATIVE: _________________________________________________________________________________________________________
I/We hereby authorize the above mentioned person whose signature appears below to claim my/our Buy Miles and/ or Miles Transfer requests on my/our behalf.
SIGNATURE OF MEMBER : _________________________________________________
SIGNATURE OF AUTHORIZED REPRESENTATIVE: _____________________________________
Date: _____________________________________________
Date: ___________________________________________
Mabuhay Miles Service Center, Petron Bel-Air Square, Enercon Fuel Services Inc. Corp., Makati Avenue corner Sen. Gil Puyat Avenue, Makati City, Philippines
Tel No. Manila (632) 855-8888 Cebu (032) 340-0191 US/Canada 1-800-435-9725 Fax: Manila (632) 855-3653/855-3654 US/Canada (818) 630-8469
Website: www.mabuhaymiles.com Email: [email protected]
BMMTF/Nov 13
PAL Express PNB Financial Center, Pres. Diosdado Macapagal Avenue, CCP Complex, Pasay City Tel. No. Manila: Tel # (02) 855-8888 Cebu: Tel # (032) 505-1616 Website: www.flypalexpress.com
For PAL Express Award redemption request for non-Philippine based Members, please email: PAL Express at [email protected]