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Full ETR - wide

Full ETR Exchange

Agent Name*
Agent Email*
Company*
Passenger*
First Last
Sort Information
Void Auxillary Segments(?)*
Does this ticket have commission?*
- Yes
- No
- Unknown
If Yes, what is the amount or %?
Does this Unused Ticket have value?*
- Has Value
- No Value
Approval Required to apply this ticket?*
- Yes
- No
If YES, please explain.
OSI Information
Waiver Information
Re-Issue/Travel By
MM slash DD slash YYYY
Airline Carrier*
Southwest
- DOES NOT EXPIRE
ETR/Information*
Original Issue Date*
MM slash DD slash YYYY
Penalty Amount*
Auxillary Void Comments
File
Max. file size: 256 MB.

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