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American Airlines Passenger List Section IV

Please ensure that the information on this form matches your passport precisely. If you have a hyphenated last name, both parts should appear together without a hyphen. For instance: (Last Name) Thompson Smith

Passenger Type *

Title *

Mr.

Ms.

Mrs.

First Name *

Last Name *

Gender *

Birth Date *

Passport Number

Expiration Date

Special Dietary Requirements: Please specify any special meal requests, such as vegetarian options or if you have severe gluten intolerance (celiac). Your health and satisfaction are our priorities."

Frequent Flyer Number (If you don't have one apply https://www.aa.com/loyalty/enrollment/enroll

E-Mail Address *