Part I: Flight Information

Departure City:

Departure Date:

January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2003 2004 2005

Departure Time:

Anytime Morning Afternoon Evening

Arrival City:

Return Date:

January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2003 2004 2005

Return Time:

Anytime Morning Afternoon Evening

Part II: Ticket Purchaser Information

Name:

Mailing/Street Address:

City:

State/Province:

Zip/Postal Code:

Country:

Telephone:

E-mail:

Part III: Passenger Information

Number of Passengers:

Number of Adults & Children:

Number of Infants:

(Under the age of 2 at time of flight)

Please provide the contact information (mailing address, phone and e-mail) for all passengers. If passenger is the same as ticket purchaser, type "same".

Part IV: Preferences

Class Preference:

Economy/Coach - Cheapest Business Class First Class - Most Expensive

Factor Preference:

Price Direct Flight Date/Time Restriction

Part V: Contact Preference

Unfortunately, our consumer base's shopping habits, coupled with the supply base's inability to supply e-tickets, prevent us from incorporating a straight-through ticket purchasing system. This means we have to contact you one more time before booking your ticket. As such, please indicate your preferred mode of contact. We will contact you in less than 24 hours with the most cost-effective tickets! Once your order has been finalized, your tickets will be express mailed.

Contact Preference:

E-mail Telephone