(Answer ALL questions completely)
· Your Full Name:
· Your Employee Number:
· Your Base:
(select from drop down box)
· Today’s Date:
· Your Phone #: (including area code)
· Your eMail Address::
· Number of PVD’s you wish to Donate:
· If you wish to Donate your PVD’s to Anyone who is in need
(no specific f/a) click here
·
No One Specific
· If you wish to Donate your PVD’s to a Specific
Flight Attendant click here
·
Yes...Specific Flight Attendant
· IF Yes, Who? Recipients Name:
· Recipients Employee #:
· Recipients Base:
(select from drop down box)
· Online Confirmation & Authorization:
(Check Box)
I state that the information given is correct.
Checking the Online Confirmation & Authorization box is necessary to process your
PVD donation & will serve as your “electronic signature” that all of the information you
have provided is accurate & that you are Donating these PVD’s (Personal Vacation
Days) Voluntarily. Click Submit to finalize donation.