APPLICATION FORM

Thank you for your interest in our Corporate Travel Programme and we invite you to complete this online application form. We will review your application and arrange for a Corporate Travel executive based locally to contact you to discuss your company’s specific travel requirements.

Please note that all information will be treated as confidential.

Company Profile

Company name
Address
Address
City		Country
Web Site		Phone (inc codes)+

Contact Information

Contact person		Position:
Phone (inc codes)		Extension No.
Contact e-mail		Fax: (inc codes)+

Existing relationship with UIA (If applicable)

Does company have a corporate relationship with UIA ?
No Yes

Travel Organiser

Where do you normally buy business travel tickets?

Online direct at www.flyuia.com
Travel Agent (Agent Name/City)
Ukraine International Airlines (Location/City)
Other

Preferred payment option

credit card
bank transfer
cash

Travel Profile from Ukraine

Company size (number of employees)
Number of travelers
Number of flights per month
Main flight routes

Annual Travel Profile for your company (All routes)

Total number of Return Flights
Domestic Ukrainian
International (from Europe to Ukraine)
Estimated annual total air travel budget? USD/UAH USD/UAH
Domestic Ukrainian
International (from Europe to Ukraine)

Enter symbols from a picture