Urban Collaborative Fall 2019 Member Meeting Airfare Request Form
As a member in the Urban Collaborative you are provided complimentary airfare to our member meeting based on your membership size. This is for the meeting in Chicago this November 6-9, 2019. Please note the following parameters and check with your district leader that you have access to the complimentary ticket(s).

o Small districts (less than 15,000 students) receive one (1) airfare per mtg.
o Medium districts (between 15,000 and 50,000 students) receive two (2) airfares per mtg.
o Large districts (more than 50,000 students) receive three (3) airfares per mtg.

We will work with our travel agent to find an itinerary as close to your desired schedule as possible. If you have specific requirements please note in Comments/Questions.

Please provide your legal name as listed on your drivers license or passport.

Email address *
District *
Your answer
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Gender
Date of birth *
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DD
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YYYY
Country (provide your country of origin for travel requirements) *
Your answer
State of residence *
Your answer
Redress number if applicable
Your answer
Known traveler number if applicable (KTN)
Your answer
Departing flight to Chicago from your home
To help us book your flight please answer the following questions.
Preferred Airport
Your answer
Departure City
Your answer
Preferred Departure Date
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DD
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YYYY
Preferred Departure Time
Return flight from Chicago to your home
To help us book your flight please answer the following questions.
Preferred Return Airport
Your answer
Return City
Your answer
Preferred Return Date
MM
/
DD
/
YYYY
Preferred Return Time
Cell/Home Phone *
Your answer
Office Phone
Your answer
Comments/Questions
Your answer
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