Helping Heroes Fly Application

Legal name as printed on military ID:______

Phone number:______Email address:______

Branch of service:______

Rank:______

Date of birth______Male______Female______

Where are you stationed?______

Mailing address:______

What airport will your flight originate from:______

What is your flight destination:______

What is the reason for your flight:______

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When was the last time you were home:______

Has Helping Heroes Fly helped you in the past: YES _____ NO ______

DO NOT PRE-PURCHASE TICKET, WE CANNOT GUARANTEE WE CAN PROVIDE ASSISTANCE UNTIL ALL INFORMATION IS REVIEWED.If you have found a specific flight that works feel free to leave the information below, however since Helping Heroes Fly is 100% donor funded we must get the best value possible; therefore, if we find a similar itinerary at a better price we’ll purchase the better value. All ticket purchases are final. You will be responsible for charges/fees associated with any changes you make to the itinerary

What are the exact dates you need to travel? (both leaving and returning)______

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What are the times you prefer to travel? (both leaving and returning) ______

Any other specifics regarding your travel we need to know?______

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Have you found a ticket that works for you? Please list the airline, dates, times and price:______

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How did you hear about Helping Heroes Fly? ______

IF WE DON’T RECEIVE ALL THREE PIECES OF INFORMATION REQUESTED WITH YOUR SUBMISSION, YOUR APPLICATION WILL BE AUTOMATICALLY DISCARDED SO PLEASE READ CAREFULLY AND FOLLOW DIRECTIONS.

Helping Heroes Fly operates on a first come first serve basis on funds we have available solely through donations. Filling out the above application, along with a copy of your currentgovernment issued ID (military or otherwise) AND approved leave papers attached, signifies to us that the above information is true and accurate. Helping Heroes Fly can help you only once, so use your turn wisely. We cannot consider your application unless it is COMPLETE and ACCOMPANIED BY A COPY OF YOUR GOVERNMENT ISSUED ID AND APPROVED LEAVE PAPERS!After reviewing your application, checking funds availability and confirming yourinformation we will pay your flight reservation, contacting you if there is any problems. You will be notified when your flight has been purchased. Flights must be for active duty US military personnel only (not family members) but flights may be booked by a spouse or parent if necessary. (if you are in the field training for example)

If someone other than the military personnel is booking flight/filling out application, what is the name and relationship:______

Reason they are booking/applying instead of you:______

Phone number of person booking/applying:______

Address of person applying:______

If you are the spouse applying we’ll need a copy of your spousal military ID.

We do our best to have a 24 hour application processing time, but we’re just two women, so please be patient if we require extra time. We will be in contact with you if we encounter a problem with your reservation.

Helping Heroes Fly loves the Lord and has a heart for the military! We thank you for your service and are honored to help you be reunited with your family! Please visit our Facebook page and post a picture of you with your family! (OUR DONORS LOVE TO SEE WHO THEY HAVE HELPED!) We’d appreciate a positive review and any help getting the word out to your fellow military troops that you can offer!

Would you allow us to list your first name on our Facebook page and website so our donors can see who they’ve helped? Yes No

DO WE HAVE YOUR PERMISSION TO USE YOUR PICTURE ON OUR WEBSITE? YES NO

By signing you confirm that the above is true and accurate, and you agree to terms stated, including the acknowledgement that this service is provided to you ONE TIME ONLY in your military career.

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Signature Date