JOHNNY AIR PLUS PERSONAL and CORPORATE CLIENT PROFILE FORM

Date of Application: * Month _October__ Day ___13_____ Year _2014_______

Name of business (if any): ______________________________________
Nature of business: _________________________________________
Referred by: _____________________
Name of applicant: ___Ramon Ma. M. Vinzon / Regina Cielo M. Vinzon_
Customer number (To be filled up by JAC): ______________________________________________

ADDRESS INFORMATION:
Physical

Mailing (if different than physical address)

Address 1:* (home) 15 Pugad Lawin St, Ayala Heights Address 1: JOHNNY AIR CARGO INC
Address 2:* (office)_______________________

Address 2: ________________________________

City:* _____Quezon City_________________

City: ______________________________

State/Prov.: _______Metro Manila__________

State/Prov.: _______________________________

Postal Code: _________1119_____________

Postal Code: ________________________

Country: ___Philippines_______________

Country: ___________________________

CONTACT INFORMATION:
Phone number:* 09175987668 (OFFICE)
Phone number:* ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___ (MOBILE)
Phone number:* ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___ (HOME)
Facsimile number:* ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___
E-mail address:* vinzon.ramon@gmail.com
Pick-up point **please choose one** : ( ) JAC-Aguirre ( X ) JAC-Megamall

This is to certify that the above information is TRUE and CORRECT.

Signature of JAC-CORP. client:* __________________________________
Endorsed by:
Name of Sales Staff: Elmer R.Villar
Acknowledged by:
Aura B. Black
Title: Sales and Marketing Manager
Phone: ( _6_ _3_ _2__ ) _8__ _1__ _2_ - __4_ __7_ _ 0__ _2_
E-mail: aurab@johnnyair.com

(0917)-828-0788

or jac.plus@yahoo.com

Online Shopping: Elmer 09178917136 /Gen 0917 850 7995 / Trixie 0917 985 1297
Corporate Serveices: JR 0917 389 7434 / Leiden 0915 394 6366 / Dexter 0927 910 6461 / Grace 0917 666 8461