Please complete the form below:
Flight Date :
Flight Number :   (Please enter four digital numbers only. ex: CI008 enter 0008)
Flight Route :
Family Name :
Given Name :   (No space or symbols between letters.)
Remarks:
  Every completed survey will automatically be entered into our monthly Lucky Draw. Surveys must reach us by
    the 6th of the following month to qualify for entry.
  Please refer to the「Data Privacy and Security Statement」for further information