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Take-a-Hop
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Not 100% sure about something? Then contact your local terminal or visit pepperd.com before signing up.
ACTIVE DUTY: YOUR LEAVE MUST HAVE ALREADY STARTED
WHEN THIS FORM IS SENT OR ELSE TERMINALS WILL NOT SIGN YOU UP.
Now supports some terminals which accept only faxes...these are labeled as 'i-Fax' after their name..
Enter info below.
Complete all applicable fields.
Include an e-mail address that you can access now.
Select an airport's name only once. When signing up for less than 5 airports, leave the other airport fields empty ("-----")
Your Details REMOTE SIGN-UP PROCEDURE CHANGE: When signing up remotely, travelers are required to identify their STATION OF ASSIGNMENT
SSAN is NOT NEEDED until you arrive at the terminal except for Navy-operated terminals As of 2010,"ALL" is no longer valid. Put specific country names only.)
(THE LOCAL AREA WHERE THEIR LEAVE OFFICIALLY START/END) or their current STATE/COUNTRY OF RESIDENCE on the request.
Station of Assignment or Current State/Country of Residence
This is to ensure passenger service agents have the information necessary to adjust the date/time of sign-up in regards to time zone differences.
Last Name:
First Name:
Middle Initial:
Grade:
SSAN: (optional for AMC-operated terminals)
AMC terminals use a pseudo ID number ahead of time and amend it when travelers arrive at the terminal.
If you don't provide SSN here, tell the agent at the counter when you present yourself--they'll find you easier in the system.
As a traveler myself, I personally would not provide a SSN here via e-mail, but each sponsor must decide that for themselves.
I would leave SSN blank here and phone it in, instead.
If Service is "Other",
specify in Comments below!!
Email:
Phone:
Number of Seats Required:
Travel Status:
(Type of Leave)
Date Leave Begins: (AD Only)
(Leave MUST have started)
Date Leave Ends:
For Overseas Travel:
Border Docs Current?
Yes
No
Country Choices:
(List up to 5)
1.
2.
3.
4.
5.
List Names of Dependents Traveling
Type of Passport (US or Foreign)
SSN * or Passport Number:
Comments:
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For Active Duty |
PLEASE REVIEW YOUR DATA BEFORE SENDING THIS REQUEST