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Envision Healthcare CONTRACTUAL A-LIST Status Match Offer

Southwest Airlines®

July 1-Aug 31, 2014

|Status Match Required Information |

|Traveler Name | |

|Company Name | |

|Southwest Airlines Rapid Rewards® Account Number | |

Submit the following information and documents to RapidRewards@ for a complimentary promotional Rapid Rewards A-List Membership for 90 days. You can continue to enjoy A-List status for an additional 12 months by flying three roundtrip flights (or six one-way flights) or earning 8,000 Tier Qualifying Points between your enrollment date and the end of your 90 day promotional period. All Rapid Rewards rules and regulations apply.

1. Provide the required information in the space above.

a. If you do not have a Southwest Airlines Rapid Rewards account number, please register at corporaterapidrewards.

1. A photocopy of your other airline elite card or of the most recent airline frequent flyer statement showing annual mileage flown year-to-date and current other airline elite status.

2. Please allow up to 30 days to process the complimentary Rapid Rewards A-List status. You will receive an e-mail notification with full terms and conditions of this offer when your Rapid Reward Membership is upgraded to A-List status.

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Attach photocopy of other airline elite card here

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