United PerksPlus Enrollment

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 redeemed awards.

Job Title (optional):

Title (optional):

First Name:

Middle Initial(optional):

Last Name:

Suffix(optional):

Phone Number:

Ext.(optional):

Phone Number Country:

Fax Number (optional):

Fax Number Country:

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:

Middle Initial (optional):

Last Name:

Suffix (optional):

Phone Number:

Ext. (optional):

Country:

Fax Number (optional):

Country:

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?

YesNo

United PerksPlus PIN/Password

Please provide a PIN/Password to login and redeem United PerksPlus points. Provide your existing RewardOne PIN/Password or create a new PIN/Password below:

United PerksPlus PIN/Password:

Re-type United PerksPlus PIN/Password:

Company Size

Is your company a subsidiary of a corporation with 500 or more employees?

Required YesNo

Total Number of Employees:

Number of Business Travelers:

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

United PerksPlus PIN/Password

Company Size

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