MEMBERSHIP ENROLMENT/RENEWAL FORM Please complete this form:

Please tick one:

Please tick one:

Complete section below only if you are requesting membership for a co-applicant:

Mr. Mrs. Ms.

M.I.

M.I.

Dr.

Mr. Mrs. Ms. Dr.

First Name (Same as Passport) Last Name (Same as Passport)

First Name (Same as Passport) Last Name (Same as Passport)

Business title Business name

Business address (No. and Street/P.O. Box) City/Town

City/TownHome address (No. and Street/P.O. Box)

Business telephone Home telephone

Mobile telephone ID/DP No.

Business title Business name

Mailing preference: Home Business

CountryState Zip Code

CountryState Zip Code

Date of Birth (DD/MMM/YYYY) (Caribbean Miles No. )

Business email address Personal email address

Business address (No. and Street/P.O. Box) City/Town

City/TownHome address (No. and Street/P.O. Box)

Business telephone Home telephone

Mobile telephone ID/DP No.

CountryState Zip Code

CountryState Zip Code

Date of Birth (DD/MMM/YYYY) (Caribbean Miles No. )

Business email address Personal email address

I agree to abide by the terms and conditions of the Club Caribbean programme as communicated to me from time to time. I acknowledge that Caribbean Airlines Ltd. may modify or cancel this programme without notice. I hereby declare that the above information is true, and Caribbean Airlines reserves the right in its absolute discretion to cancel membership if the information provided is false. Caribbean Airlines Ltd. shall not be liable for any loss or damage resulting from such cancellations.

Signature (Applicant) Signature (Co-Applicant) (DD/MMM/YYYY)

(DD/MMM/YYYY)

THE BENEFITS WHEN TRAVELLING ON CARIBBEAN AIRLINES LTD.

Form of payment: Cheque Cash Credit Card

Credit Card Name

Credit Card No.

Receipt No.

Amount Received Initials

Station

Access to hospitality lounges for members and one travel companion per member (16 years and over)

BarbadosKingstonMontego Bay St. Maarten TrinidadGuyana

SurinameNassau MiamiNew York Toronto

Limited waiver of applicable fee for flight and date changes* Access to Business Centre - i.e. PC's/Internet/faxes/copiesSpecial priority status for fully booked flightsPriority status on on all stand by flights at the airport Preferential airport check-in Priority baggage handling and boarding **10% discount at Caribbean Airlines Gift Shop at Piarco International Airport, TrinidadTwo personalised baggage tags

Automatic enrolment in the Caribbean Miles programme and 500 Bonus MilesDiscounts, room upgrades and other special services at partner hotels Free membership in Hertz #1 Club Gold car rental programme for enrolments

*Vouchers may be viewed and printed from the member's website 24 hours after enrolment**May not apply on ATR equipment

ENROLMENT/RENEWAL FORM

One Year Individual -US$350.00

Individual & Co-applicant - US$650.00

Corporate for 4 or more members -US$300.00 per person

IERE HOUSE, GOLDEN GROVE ROAD, PIARCO, TRINIDAD W.I. Trinidad:

Tobago:

Caribbean ( Toll free):

Suriname

U.S.A and Canada ( Toll Free)

(includes Guyana, Barbados, St. Lucia, Antigua and Jamaica)

(868) 625 7200

(868) 660 7200(868) 626 6125

(800) 744 2225

(597) 520034(597) 520035

(800) 920 4225 (855) 336 4537

All cheques must be made payable to Caribbean Airlines. Cash should not be forwarded by mail. Credit Card payments must be made at the nearest Caribbean

equivalent. Discounts are available for family members on joint submissions at an annual fee of US$650. All companies are eligible for corporate discounts when signing up four (4) or more

applicable fee is US$300 per member, or local equivalent.

Please note that Club Caribbean Membership is an individual one. Cards are not transferable, and travel benefits will be extended to the individual whose name is imprinted on the card

may also be used by the holder to obtain local privileges, in which case, you may be required to sign as a recipient of the benefits for identification purposes.

A copy of your Club Caribbean card may be printed from the member's website.

Should information provided on this application be deliberately falsified, Caribbean Airlines reserves the right to immediately terminate the Club Caribbean Membership and withdraw the related services.

Kindly make cheques payable to: Caribbean Airlines. Payment options: Payment may be made in equivalent local currency. Members Fee paid; please tick one:

USEFUL INFORMATION

Government Taxes (VAT) where applicable must be added to the above fees. Membership fees are not refundable. Please note payment in CANADA accepted only in CAD$ at applicable rate of exchange.

le fee.

* Must enrol/renew at the same time.