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CorporatePlus qualification form
CorporatePlus qualification form
To help us determine if CorporatePlus
SM
is the right program that brings value to your company, please complete and submit this form. A CorporatePlus representative will process your information and respond to your request.
Fields marked with an asterisk (
*
) are required.
Company information
Company name
*
Company address
*
City
*
State/Province
*
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip/Postal Code
*
Contact information
Contact first name
*
Contact last name
*
Phone
*
Email address
*
Additional information
Estimated annual total travel expenditures
*
$50,000 or less
$50,001 to 100,000
$100,001 to 250,000
$250,001 to 500,000
$500,001 to 1,000,000
$1,000,001 to 5,000,000
$5,000,001 to 15,000,000
$15,000,001 to 30,000,000
$30,000,001 or more
Estimated annual United/Star Alliance expenditures
*
$50,000 or less
$50,001 to 100,000
$100,001 to 250,000
$250,001 to 500,000
$500,001 to 1,000,000
$1,000,001 to 5,000,000
$5,000,001 to 15,000,000
$15,000,001 to 30,000,000
$30,000,001 or more
Percentage of international travel on a yearly basis
*
Less than 10
10% to 20%
20% to 30%
30% to 40%
40% to 50%
50% to 60%
60% to 70%
70% to 80%
80% to 90%
90% to 100%
Top city pairs traveled by your company
*
For example: Chicago-Los Angeles, Denver-San Francisco
Do you currently have a contract with an airline carrier?
*
Yes
No
With whom?