Mileage Donation Form

Mileage Donation Preference:

• American Red Cross

  Transports disaster relief workers

• Fisher House Foundation

  Helping to reunite wounded service members with their families

• Make-A-Wish Foundation

  Fulfills travel wishes for children with life-threatening illnesses

• Mercy Medical Airlift

  Medical air transportation for patients in financial need

First Name:

M.I.:

Last Name:

Street Address:

City:

State:

Zip Code:

E-Mail Address:

US Airways reserves the right to allocate miles between charities within the guidelines of the Miles of Hope® program.