Southwestern College



SOUTHWESTERN COLLEGEFLIGHT TICKET REQUESTIF YOU DECIDE TO PURCHASE FLIGHT TICKET, PLEASE PROVIDE COPY OF FLIGHT INFORMATION AND PROOF OF PAYMENT/RECEIPT.The following information will be used to purchase your flight ticket AND will be provided to the airline issuing your flight ticket.FULL NAMEYou must use ONE form of identification to complete this form, and must bring/present this identification to the airport on date of departure/return.SELECT ONE ONLY: CA Driver License or CA Identification Card or PassportFIRST NAMEMIDDLE NAMELAST NAMEDATE OF BIRTH: MM/DD/YYYYPROVIDE SWC ID#PHONE (PERSONAL): DEPARTURE PREFERENCE (we will do our best to match date/time)AIRLINE CITY/STATE:FLIGHT #DATETIMERETURN PREFERENCE (we will do our best to match date/time)AIRLINE FLIGHT #DATETIMEIMPORTANT: PLEASE MAKE HOTEL RESERVATIONS AND PROVIDE A COPY OF THE RESERVATION WITH YOUR PAPERWORK. SWC DOES NOT PROVIDE THIS SERVICE.I certify the information provided above is accurate.SIGNATURE DATECENTER/SCHOOL/OFFICEWORK PHONE/EXT. ................
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