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Partial ETR - wide

Partial 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 %?
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
ETR/Information*
Original Issue Date*
MM slash DD slash YYYY
Remaining Value of Ticket after Penalty*
Max. Day*
- Yes
- No
If Yes, how many days?
Expiration Date*
MM slash DD slash YYYY
Route Specific?*
- Yes
- No
Fare Breakdown*
Additional Comments
File
Max. file size: 256 MB.

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