Application form

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ABOUT SSL CERTIFICATES
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Fill in in Latin script. Only the following characters may be used in the Name and Surname fields: a á b c č d ď e é ě f g h i í j k l m n ň o ó p q r ř s š t ť u ú ů v w x y ý z ž

APPLICATION FORM TO JOIN THE OK PLUS PROGRAMME (* required fields)
*Title:	Mr. Mrs. Miss
*Last Name:
*First Name:
*Date of birth:	Day Month Year
Your postal address is optional, but we will need it to mail you your OK PLUS Silver/Gold/Platinum membership card once you have collected the required number of miles and segments. Please submit your postal address. Without a membership card of the higher tier, you will not be able to use all the perks connected with your OK PLUS membership.
Street:


City/Town:
Postal/ZIP Code:
Country:
State/Province:
Telephone:
Mobile:
*E-mail:
By providing the consent to the OK PLUS Terms and Conditions, one enters into a Programme Membership Agreement. Due to the serious nature of this agreement and due to the fact that under certain conditions personal data may be used for mailing business messages, OK PLUS programme memberships of persons under 16 years of age are subject to consent provided by their legal guardian or court-appointed representative. Please be advised that you will be liable for the damage caused to Czech Airlines by providing misleading information regarding your date of birth or the e-mail address of your legal or court-appointed representative.
*E-mail of legal representative:
* I agree with the use of the above-listed personal data for the purpose of providing me with information regarding Czech Airlines news and special offers as well as the OK PLUS frequent flyer programme and its partners upon conditions stipulated herewith. Yes No
Your Requirements
In which language would you like to receive your correspondence?

PIN for the Contact center (used to verify your identyty for example when booking a bonus ticket)
*PIN (5-10 characters):
*Confirmed PIN:
*Write the characters displayed into the following field:	Reload image
* I agree to the General Rules of the OK Plus Programme and provide this personal information in order to obtain advantages arising from my OK Plus Programme membership.