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 Seychelles PLUS
P.O.Box 386
Victoria, Mahe
Seychelles
TEL : (+248) 381065
FAX: (+248)225430
EMAIL:
seychellesplus@airseychelles.com Web:
www.airseychelles.com

Apply For Membership
Personal Details
Mr Mrs Miss Ms Date Of Birth (yyyy-mm-dd)
First Name
 		Email Address
Surname
 		ID Number
Other Initials
 		Telephone
Fax
 		Mobile
Please Indicate how you would like your name to appear on your membership card
Please State address to which correspondence should be sent :
Travel Details
Your Meal Preference?
Standard Vegan (ovo-lacto) Kosher
Diabetic Low Cholesterol Low Sodium
Muslim Gluten Free Vegetarian
Which Class of Service Do You Usually Fly?? (Please Select)
Pearl Class     Economy Class
To Which Destinations Do you Travel Most Frequently??

How many international Trip do you take each year??

Your Seat Preference (Please Select)
Aisle Seat      Window Seat

Members Of Your Family Group
[ Each Family member (above the age of twelve) must have filled in separate application form. ]
Surname

Name

Date Of Birth

Title

I confirm that the Information Provided above is correct. 

Date   
      
 
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