Hilo International Airport Hilo, Hawaii 96720 HawaiiAir.com
* Submitting this application, acknowledges that your company
meets all qualifications of the Hawaiian Airlines Corporate Program
DATE OF APPLICATION: __________________________
ACCOUNT NAME: University of Hawai‘i at Hilo / Department:
ADDRESS: 200 W. Kawili Street
CITY/STATE/ZIP Hilo, HI 96720
PHONE:
AFTER HOURS PHONE:
FAX:
EMAIL:
PRIMARY CONTACT:
OTHER AUTHORIZED CALLERS: N/A
N/A
FORM OF PAYMENT: PLEASE CHECK ONE
VISA MASTERCARD AMERICAN EXPRESS DINERS DISCOVER
NAME ON ACCOUNT: University of Hawai‘i / Cardholder:
ACCOUNT NUMBER:
EXPIRATION DATE:
BILLING ADDRESS: 200 W. Kawili Street
CITY/STATE/ZIP: Hilo, HI 96720
For Hawaiian Airlines Use Only:
Date Recv’d: _____________ By: _______________ Date Processed: ________________ By: _____________
Note: _______________________________________________________________________________________
Corp HM #
PIN :
Star Name:
Tour Code:
Tkt Designator:
Pax Type: CLG PFA Other (see attached)
(Corp Web Rules) (TA Web Rules) (Specific Web Rules)
Corporate Web Program Registration Form
X
Craig Shiroma District Sales Manager – Island of Hawaii
