MPD - BARTSCH International Gmbh

3
4
Standard multiple purpose document
- IATA Resolution 726 -
BARTSCH International GmbH, Alte Landstraße 8-10, 85521 Ottobrunn bei München
Telefon +49 (0) 89 / 60805-0, Telefax +49 (0) 60805-324, www.bartsch.de

1. Multiple Purpose Document- 1 Exchange Coupon
02.00
Printed by Bartsch International, Munich-Ottobrunn · Germany
Passenger Coupon (white)
Exchange Coupon (orange/beige/green)
Agent Coupon (pink)
Audit Coupon (green)
NAME OF PASSENGER
REASON FOR ISSUANCE
10 = EXCESS BAGGAGE TICKET
20 = SPECIAL SERVICE TICKET
30 = TOUR ORDER
AMOUNT IN LETTERS
FARE/ CHARGES
TO
AT
EQUIV. AMT/FARE PAID
TAX/FEE/CHARGE
TAX/FEE/CHARGE
TICKET TOTAL
OTHER CHARGES
EQUIV. CHARGE PAID
TOTAL EXCHANGE VALUE
SERVICE CHARGE/TAX ON MPD
TOTAL
VOID IF
MUTILATED
OR ALTERED.
NOT TRANSFERABLE ENDORSEMENTS/RESTRICTIONS (CARBON)
40 = PREPAID TICKET ADVICE
90-99
50 = SPECIFIED MISCELLANEOUS CHARGES ORDER
61 = UNSPECIFIED MISCELLANEOUS CHARGES ORDER
– Maximum 750 U.S. Dollars
FORM OF PAYMENT
DATE OF ISSUE
CURRENCY AMOUNT IN FIGURES
alijkglkLKBLBCIHE
APP. CODE EXT. PAY. T
EACH COUPON TO BE HONOURED FOR THE VALUE SHOWN THEREON
VALID ONE YEAR FROM DATE OF ORIGINAL ISSUE
2. Multiple Purpose Document - Discard Sheet
MPD 1
AUDIT COUPON
Back cover (reverse of the Passenger Coupon) of the MPD Legal translations available in various languages
AIRLINE DATA
BANK EXCHANGE RATE - FARE
BANK EXCHANGE RATE - OTHER CHARGES
ISSUED IN CONNECTION WITH
ISSUED IN EXCHANGE FOR
ORIGINAL ISSUE
MULTIPLE PURPOSE DOCUMENT
1.
2.
In the ”Reason for Issuance” box, check off the number
indicating the reason for issuance.
10 = Excess Baggage Ticket
20 = Special Services Ticket
30 = Tour Order
40 = Prepaid Ticket Advice
50 = Specified Miscellaneous Charges Order
61 = Unspecified Miscellaneous Charges Order
– Maximum 750 U.S. Dollars
90-99 = Individual Airline Use
DISCARD THIS SHEET AFTER VALIDATION
DATE AND PLACE OF ISSUE 03
MULTIPLE PURPOSE DOCUMENT - ISSUED BY
ABC AIRLINES
SUBJECT TO TERMS AND CONDITIONS
CPN AIRLINE
CODE
FORM AND SERIAL NUMBER
CK
THIS ORDER IS NOT VALID AND WILL
NOT BE HONOURED UNLESS PUR-
CHASED FROM ABC AIRLINES OR ITS
AUTHORIZED TRAVEL AGENT.
ß 789 5090910127 6 ß
DO NOT MARK OR WRITE IN THE WHITE AREA ABOVE
789 5090910127 6
MPD
COUPON
TERMS AND CONDITIONS
This document is not valid unless properly validated.
If air carriage is provided for hereon, this document must be exchanged for a ticket and at such time prior to departure as may be required
by the rules and regulations of the carrier to whom the document is directed.
If this document is issued in respect to baggage, the passenger must also have a passenger ticket and baggage check, since this
document is not the baggage check described by Article 4 of the Warsaw Convention or the Warsaw Convention as amended by the
Hague Protocol, 1955.
This document is not transferable and neither the issuer nor any carrier nor any person supplying the non-air carriage services provided for
hereon shall be liable to the purchaser or person named on the face hereof in the event of the loss or theft of this document, or if it is
honoured when presented by any person other than the person named hereon.
This document and any carriage or services for which it provides are subject to the currently effective and applicable tariffs, conditions of
carriage, rules and regulations of the issuer and of the carrier to whom it is directed and of any carrier performing carriage or services
under the ticket or tickets issued in exchange for this order, and to all the terms and conditions under which non-air carriage services are
arranged, offered or provided, as well as the laws of the country wherein these services are arranged, offered or provided.
In issuing this document the issuer acts only as agent for the carrier or carriers furnishing the carriage or the person arranging or supplying
the services described hereon and the issuer shall not be liable for any loss, injury, damage or delay which is occasioned by such carrier or
person, or which results from such carrier or person performing or failing to perform the carriage or other services, or from such carrier or
person failing to honour this document.
The honouring carrier or person providing services reserves the right to obtain authorization from the issuing carrier prior to honouring this
document.
The use of the term issuer, carrier or person includes all owners, subsidiaries and affiliates of such issuer, carrier or person and any person
with whom such issuer, carrier or person has contracted to perform the carriage or services provided for hereon.
The acceptance of this document by the person named on the face hereof, or by the person purchasing this document on behalf of such
named person, shall be deemed to be consent to and acceptance by such person or persons of these conditions.