United PerksPlus Enrollment

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Company Information

Company Name (Preferably Registered Name)

Tax I.D (9 digits for U.S. companies. May vary for other countries.):

Country (we only offer the product to countries listed in the select box):

Agency Name:

ARC/IATA Number (Please reach out to your agency to obtain this information):

Address Line 1:

Apt./Suite/Unit (optional):

Address Line 2 (Optional):

City:

State/Province/Region:

ZIP/Postal Code:

Source Code (optional):

Sales Manager Code (optional):

Authorized Representative Information

Your company's statements will be sent to the Authorized Representative who must be a company employee. The Authorized Representative is the only individual that is authorized to receive and distribute redeemed awards.

Job Title (optional):

Title (optional):

First Name:

Last Name:

Phone Number:

E-mail Address:

Company Contact Information (Optional)

Your Company’s Contact is the only additional person authorized to provide changes and to redeem points for rewards under the terms and conditions of the program. Redeemed awards will be sent to the Authorized Representative only.

Job Title (optional):

Title (optional):

First Name:

Last Name:

Phone Number:

E-mail Address:

E-mail Preferences

These preferences will apply to both your Authorized Representative and Company Contact.

Would you like to receive United PerksPlus promotional offers for your company by e-mail?

Yes

Create your United PerksPlus Password

Please create a password to manage your PerksPlus account and redeem points. Password must contain minimum of 8 characters with at least 1 uppercase letter, 1 lowercase letter, 1 number, and 1 special character (Accepted characters: $, @, !, %, *, ?, &).

United PerksPlus Password:

Re-type your United PerksPlus password:

I agree to Terms and Conditions (must agree to continue)

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United PerksPlus Enrollment

Company Information

Authorized Representative Information

Company Contact Information (Optional)

E-mail Preferences

Create your United PerksPlus Password

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