Marketplace Escalation Transfer Form
Member HawaiianMiles #
Member HawaiianMiles # must have at least 0 and no more than 9 characters.
The value of the Member HawaiianMiles # field is not valid.
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Member First Name
Member First Name must have at least 0 and no more than 256 characters.
The value of the Member First Name field is not valid.
*
Member Last Name
Member Last Name must have at least 0 and no more than 256 characters.
The value of the Member Last Name field is not valid.
*
Member Phone Number
Member Phone Number must have at least 0 and no more than 256 characters.
The value of the Member Phone Number field is not valid.
Member E-mail Address
Member E-mail Address must have at least 0 and no more than 256 characters.
The value of the Member E-mail Address field is not valid.
*
Card Type Used
American Express
Diners Club
Discover Novus Card
JCB
MasterCard Credit
Sumitomo Hawaiian Airlines VISA Card
Universal Air Travel Plan
Visa Credit
*
Last 4 Digits of Credit Card
Last 4 Digits of Credit Card must have at least 4 and no more than 4 characters.
The value of the Last 4 Digits of Credit Card field is not valid.
*
Purchase Total
Purchase Total must have at least 0 and no more than 256 characters.
The value of the Purchase Total field is not valid.
*
Date of Purchase
Merchant Name
Merchant Name must have at least 0 and no more than 256 characters.
The value of the Merchant Name field is not valid.
*
Notes
Notes must have at least 0 and no more than 512 characters.
The value of the Notes field is not valid.
*