Submission Form

Personal Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Mileage or Reward Points Information
Program*
Air Canada Aeroplan Acct # or Username*

Please enter the 9 digit Aeroplan number or your username
Air France Flying Blue Username or Number*

Please enter the Flying Blue number or your username
Air Canada Aeroplan Password*
Air France Flying Blue Pin / Password*
Alsaka Airlines Mileage Plan Number*

Please enter your Alaska Airlines Mileage Number
Alaska Airlines Mileage Plan Password*
American Airlines Advantage Number*

Please enter your AA Advantage number
AA Advantage Password*
British Airways Avios Acct # or Username*

Please enter the 8 digit BA Avios number or your username
British Airways Avios Password*
Delta Skymiles Number*

Please enter the 10 digit Skymiles number
Delta Skymiles Password*

Please enter your Delta Skymiles password (not your 4 digit pin)
Emirates Skywards Miles*

Please enter your Emirates Skywards number
Emirates Skywards Password*

Please enter your Emirates Skywards Password
Hilton Honor Rewards Username*

Please enter your Hilton Honor Rewards username or account number
Hilton Honor Rewards Password*

Please enter your Hilton Honor rewards password or pin number
Hyatt Gold Passport Username*

Please enter your Hyatt Gold Passport Rewards username or account number
Hyatt Gold Passport Rewards Password*

Please enter your Hyatt Gold Passport rewards password.
Jetblue True Blue Username*

Please enter your Jetblue True Blue username
Jetblue Trueblue Password*

Please enter your True Blue password
Lufthansa Miles & More Username*

Please enter your Lufthansa Miles & More username
Lufthansa Miles & More Password*

Please enter your Miles & More password
Marriott Rewards Number*

Please enter your Marriott Rewards number
Marriott Rewards Password*

Please enter your Marriott Rewards password
Qantas Frequent Flyer Username*

Please enter your Qantas Frequent Flyer username
Qantas Frequent Flyer Password*

Please enter your Qantas Frequent Flyer password
Southwest Rapid Rewards Username*

Please enter your username or Rapid Rewards number
Southwest Rapid Rewards Password*

Please enter your Rapid Rewards password
United Mileage Plus Number*

Please enter your United Mileage Plus number
United Mileage Plus Pin*

Please enter your 4 digit Mileage Plus pin
US Airways Dividend Miles Number*

Please enter your US Airways Dividend Miles number
US Airways Dividend Miles Password*

Please enter your US Airways Dividend Miles password
Starwood Preferred Guest Rewards Number or Username*

Please enter your SPG Rewards Number or Username
Starwood Preferred Guest Rewards Password*

Please enter your SPG Rewards password
Amount of Membership Reward Points*
- No Access Being Granted
American Express Membership Rewards Username*
American Express Membership Rewards Password*
15 Digit Card Number

Please enter the 15 digit American Express Number. Please make sure the phone number and address above match your American Express account.
4 Digit Code From The Front Of Your Card*

Please enter the 4 digit code from the front of your American Express card above the card number
Call In Pin

Please enter the call in pin.
3 Digit Code From The Back Of Your Card*

Please enter the 3 digit code from the back of your American Express.
Amount of Miles*
Agreed upon price*
- Check if you are selling a second account
Mileage or Reward Points Information # 2
Program 2*
Air Canada Aeroplan Acct # or Username*

Please enter the 9 digit Aeroplan number or your username
Air Canada Aeroplan Password*
Air France/ KLM Flying Blue Username or Number*

Please enter the Flying Blue number or your username
Air France/ KLM Flying Blue Pin / Password*
Alsaka Airlines Mileage Plan Number*

Please enter your Alaska Airlines Mileage Number
Alaska Airlines Mileage Plan Password*
American Airlines Advantage Number*

Please enter your AA Advantage number
AA Advantage Password*
British Airways Avios Acct # or Username*

Please enter your 8 digit BA Avios number or your username
British Airways Avios Password*
Delta Skymiles Number*

Please enter your 10 digit Skymiles number
Delta Skymiles Password*

Please enter your Delta Skymiles password (not your 4 digit pin)
Emirates Skywards Miles*

Please enter your Emirates Skywards number
Emirates Skywards Password*

Please enter your Emirates Skywards Password
Hilton Honor Rewards Username*

Please enter your Hilton Honor Rewards username or account number
Hilton Honor Rewards Password*

Please enter your Hilton Honor rewards password or pin number
Hyatt Gold Passport Username*

Please enter your Hyatt Gold Passport Rewards username or account number
Hyatt Gold Passport Rewards Password*

Please enter your Hyatt Gold Passport Rewards password.
Jetblue True Blue Username*

Please enter your Jetblue True Blue username
Jetblue Trueblue Password*

Please enter your True Blue password
Lufthansa Miles & More Username*

Please enter your Lufthansa Miles & More username
Lufthansa Miles & More Password*

Please enter your Miles & More password
Marriott Rewards Number*

Please enter your Marriott Rewards number
Marriott Rewards Password*

Please enter your Marriott Rewards password
Qantas Frequent Flyer Username*

Please enter your Qantas Frequent Flyer username
Qantas Frequent Flyer Password*

Please enter your Qantas Frequent Flyer password
Southwest Rapid Rewards Username*

Please enter your username or Rapid Rewards number
Southwest Rapid Rewards Password*

Please enter your Rapid Rewards password
United Mileage Plus Number*

Please enter your United Mileage Plus number
United Mileage Plus Pin*

Please enter your 4 digit Mileage Plus pin
US Airways Dividend Miles Number*

Please enter your US Airways Dividend Miles number
US Airways Dividend Miles Password*

Please enter your US Airways Dividend Miles password
Starwood Preferred Guest Rewards Number or Username*

Please enter your SPG Rewards Number or Username
Starwood Preferred Guest Rewards Password*

Please enter your SPG Rewards password
Amount of Miles*
Agreed upon price*
- Check if you are selling a third account
Mileage or Reward Points Information # 3
Program*
Air Canada Aeroplan Acct # or Username*

Please enter the 9 digit Aeroplan number or your username
Air Canada Aeroplan Password*
Air France/ KLM Flying Blue Number or Username*

Please enter your Flying Blue number or username
Air France/ KLM Flying Blue Pin*

Please enter your Flying Blue pin
Alsaka Airlines Mileage Plan Number*

Please enter your Alaska Airlines Mileage Number
Alaska Airlines Mileage Plan Password*
American Airlines Advantage Number*

Please enter your AA Advantage number
AA Advantage Password*
British Airways Avios Acct # or Username*

Please enter your 8 digit BA Avios number or your username
British Airways Avios Password*
Delta Skymiles Number*

Please enter your 10 digit Skymiles number
Delta Skymiles Password*

Please enter your Delta Skymiles password (not your 4 digit pin)
Emirates Skywards Miles*

Please enter your Emirates Skywards number
Emirates Skywards Password*

Please enter your Emirates Skywards Password
Hilton Honor Rewards Username*

Please enter your Hilton Honor Rewards username or account number
Hilton Honor Rewards Password*

Please enter your Hilton Honor rewards password or pin number
Hyatt Gold Passport Username*

Please enter your Hyatt Gold Passport Rewards username or account number
Hyatt Gold Passport Rewards Password*

Please enter your Hyatt Gold Passport Rewards password.
Jetblue True Blue Username*

Please enter your Jetblue True Blue username
Jetblue Trueblue Password*

Please enter your True Blue password
Lufthansa Miles & More Username*

Please enter your Lufthansa Miles & More username
Lufthansa Miles & More Password*

Please enter your Miles & More password
Marriott Rewards Number*

Please enter your Marriott Rewards number
Marriott Rewards Password*

Please enter your Marriott Rewards password
Qaantas Frequent Flyer Username*

Please enter your Qantas Frequent Flyer username
Qantas Frequent Flyer Password*

Please enter your Qantas Frequent Flyer password
Southwest Rapid Rewards Username*

Please enter your username or Rapid Rewards number
Southwest Rapid Rewards Password*

Please enter your Rapid Rewards password
United Mileage Plus Number*

Please enter your United Mileage Plus number
United Mileage Plus Pin*

Please enter your 4 digit Mileage Plus pin
US Airways Dividend Miles Number*

Please enter your US Airways Dividend Miles number
US Airways Dividend Miles Password*

Please enter your US Airways Dividend Miles password
Starwood Preferred Guest Rewards Number or Username*

Please enter your SPG Rewards Number or Username
Starwood Preferred Guest Rewards Password*

Please enter your SPG Rewards password
Amount of Miles*
Agreed upon price*
Payment Information
Total Payment
Preferred Method of Payment*
- Paypal
- Overnight Check
- Check
Preferred Method of Payment*
- Paypal
- Check
Paypal Email Address*

Please enter the email address associated with your Paypal acount
Bank Account Number*
Terms & Conditions
Terms of Service: Cash For My Miles (CFMM) will pay you the agreed upon price upon verifying the information provided in this form.*
- I Agree to the terms & conditions

Submission Form

Personal Information

Mileage or Reward Points Information

Mileage or Reward Points Information # 2

Mileage or Reward Points Information # 3

Payment Information

Terms & Conditions