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International Airlines Travel Agent Network

Administration

A

Inside Sales

I

Outside Sales

X

Last Name:

City:

Date of Birth:

Social Security #:

/

-

-

/

First Name:

State:

Zip:

Sex:

Female

Male

Your Start Date:

/

/

E-mail address:

35 Hrs Or Over

1

25 To 34 Hrs

2

20 To 24 Hrs

3

5 To 19 Hrs

4

$5,000 And Over

1

Under $5,000

2

Owner, 20% Exempt

3

Last Name:

First Name:

City:

State:

Zip:

Date of Birth:

/

/

Sex:

Female

Male

Your Start Date:

/

/

Social Security #:

-

-

E-mail address:

Administration

A

Inside Sales

I

Outside Sales

X

$5,000 And Over

1

Under $5,000

2

Owner, 20% Exempt

3

35 Hrs Or Over

1

25 To 34 Hrs

2

20 To 24 Hrs

3

5 To 19 Hrs

4

Last Name:

First Name:

City:

State:

Zip:

Date of Birth:

/

/

Sex:

Female

Male

Your Start Date:

/

/

Social Security #:

-

-

E-mail address:

Administration

A

35 Hrs Or Over

1

Inside Sales

I

25 To 34 Hrs

2

Outside Sales

X

20 To 24 Hrs

3

5 To 19 Hrs

4

FB/W/RF/P

December 15, 2006

Page 4 of 10

$5,000 And Over

1

Under $5,000

2

Owner, 20% Exempt

3

Document #502

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