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International Adoption Program Request Form

Thank you for your interest in Northwest Airlines International Adoption program. To request further details via e-mail please supply information as requested below. Please stipulate if you prefer a response by phone, fax or e-mail. If you prefer, you may call NWA/KLM International Adoption fare specialists at 1-800-322-4162, Monday - Friday, 7:30 AM - 7:30 PM CST.
 

All fields are required unless noted.

Name (First and Last)

E-mail Address

Daytime Phone Number

Fax Number - Optional

Mailing Address

City

State

Zip Code

Departure Airport (City)

Destination City

Alternate Destination City

Approximate Departure and Return Dates of Travel

Number of Passengers Traveling

Adoption Agency Name

Adoption Agency Phone Number

Date of Completion of Advance Processing

Location Where Your Advance Processing Application Was Forwarded

Please respond via (select one option)

Special Request (If any) - Optional