Date: ________________ Open Skies Interline Vacations 4609 Shrewsbury Avenue St. Louis, MO 63119 Tel: 1-800-935-9444, Fax: 1-314-645-5407 To Whom It May Concern: The following individual is an employee of _______________________ as of the date of this letter. Please extend authorization for the interline travel they are requesting. Employee Name: ________________________________________________ Employee #: ______________ Position: _______________ Date of Hire: ________________ The following are eligible dependents of the employee: Spouse: ______________________________________________________ Dependent Child: _________________________ Date of Birth: __________ Dependent Child: _________________________ Date of Birth: __________ Dependent Child: _________________________ Date of Birth: __________ Dependent Child: _________________________ Date of Birth: __________ Mother: _____________________________ Father: ________________________________ Thank you for any considerations. Sincerely, _______________________________________________ Signature of Manager and/or Supervisor Printed Name: ____________________________________ Phone Number: _______________________ Please mail or fax to Open Skies Interline Vacations along with a photo copy of your airline ID badge.