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Your dates of military service
Are you requesting to fly with a specific group or other veterans?
Who is the group or veteran?
Emergency Contact Information: (someone available on the day of your flight)
Cell Phone Number
Please provide two alternate contacts. (Very important)
Alternate 1 First Name
Alternate 1 Last Name
Alternate 1 Relationship
Alternate 1 Phone Number
Alternate 1 Cell Phone Number
Alternate 2 First Name
Alternate 2 Last Name
Alternate 2 Phone Number
Alternate 2 Cell Phone Number