Flight Centre Membership Orders

1. Please select your Flight Centre location *This question is required.

2. Flight Centre Agent Information *This question is required.

First Name

Last Name

Email Address

3. Customer Information
If multiple memberships are ordered, please enter the information of the primary contact person for the group. *This question is required.

First Name

Last Name

Membership Order *This question is required.

Space Cell	Membership Type
Adult Membership	Adult Membership: Membership Type
Life Membership	Life Membership: Membership Type

4. Is this a rush order? (Standard shipping requires 5 - 7 business days for delivery)

5. Customer Departure Date
HI Canada can arrange rush shipping for customer's travelling less than 5 business days from date of order. Please share your customer's departure date for their trip and we will do our best to rush this order. *This question is required. This question requires a valid date format of MM/DD/YYYY.

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5. Additional Notes