JAL | JAPAN AIRLINES

Switching from the JALFC/Premio Card to JAL USA Card / JALFC Membership Renewal and Credit Card Information Update Form

Requiredindicates mandatory field.

(Annual Memberhsip Fee US$30)

JMB Membership NumberRequired
Member's NameRequired (As appeared in your Passport)
(First Name) (Last Name)
Birthday (mm/dd/yyyy)Required Month/Day/Year
JMB Registered Phone NumberRequired (e.g. 123-456-7890)
Please provide one or more JMB registered information below for verification.Required
Address
Street Address
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
Country
Alternate/Secondary Registered Phone Number
E-mail Address

Your membership will be renewed automatically. For details, please reffer "Credit Card Information" below.
Credit Card Information *Must be Primary Member's or Family Member's Credit Card.
(Please read before you fill out this form.)
  • If you pay the annual membership fee by credit card, your membership will be renewed automatically and the membership fee will be charged to your credit card.
  • If you do not wish to renew your membership, please provide JAL Family Club Desk with "MEMBERSHIP WITHDRAWAL FORM" before the month in which your membership expires. Otherwise your membership will be renewed automatically and the membership fee will be charged to your registered credit card.
  • Please notify JAL Family Club Desk if registered credit card information changes.
  • Type of Credit CardRequired JAL USA CARD / JALFC Premio Card
    JAL CARD (MASTERCARD VISA JCB DINERS )
    MASTERCARD VISA JCB AMERICAN EXPRESS DINERS
    Card NumberRequired
    Expiration Date (Month/Year)Required /
    Card Holder's NameRequired


    *If you agree to the terms and conditions in it, please check the above box.
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    If you would like to renew your JALFC account by mail, please print and send the completed application form to the following address:

    JAL Family Club Desk
    300 Continental Blvd., Suite 401, El Segundo, CA 90245
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