Company Name: *
Administrator Requesting Award: *
Administrator E-mail Address: *
Name: * (person receiving the award)
Midwest Miles Number: *
I authorize Midwest Airlines to deduct points for the designated award(s) on behalf of this company. *

¹Award will be mailed via US mail to address on account.
²Does not waive upgrade fees.
³If requesting a free round trip ticket (BCBFREE) you will receive an e-mail containing the ticket authorization, along with the booking instructions. Free ticket seats are capacity controlled & may not be available on requested flights.