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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 email please supply information as requested below. Please stipulate if you prefer a response by phone, fax or email. 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)

Email Address

Daytime Phone Number

Fax Number

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
 

Special Request (If any)

 

 
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