PASSENGER AUTHORIZATION FORM - kpacoupons.com

PASSENGER AUTHORIZATION form . I, _____[ PASSENGER 's English name/ ], certify and attest that I am the PASSENGER or the parent or legal guardian of the PASSENGER who flew on Korean Air (KE) or Asiana Airlines (OZ) using Ticket Number(s) (the Ticket Number(s) ): _____ [Please print your ticket number clearly/ ]. I hereby transfer and assign any and all rights arising out of the settlements in the Air PASSENGER Antitrust Litigation Class Action, MDL No. 07-01891 (the Settlements ) to seek redemption using a Coupon Code for the aforementioned Ticket Number to: _____ [Coupon Owner's English name/ ] (the Coupon Code Owner ). I understand the Ticket Number may be used by Coupon Code Owner for the sole purpose of redemption of the Coupon Code and hereby give my AUTHORIZATION for such use. By transferring, and assigning the above Ticket Number to the Coupon Code Owner, I understand that I. relinquish any and all rights under the Settlements to submit the Ticket Number(s) identified above for redemption using Coupon Codes.

404 South Wells Street, Suite 600 – Chicago, IL 60607 – (312) 204-69690 – Fax: (312) 204-6980 – Email: Admin@kpacoupons.com PASSENGER AUTHORIZATION FORM

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  Form, Authorization, Passenger, Passenger authorization form

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