NALO AIRLIFT REQUEST

Unit: __________________________________________

Purpose: _______________________________________

LIFT A - Destination Airfield __________ Date ___________ # Passengers ___________

Earliest departure time _________L_______Z

Desired departure time _________L_______Z

Desired arrival time _________L_______Z

Latest arrival time _________L_______Z

There must be at least 2 hours between Desired and Earliest departure times.

Andrews AFB will normally be the departure airfield.

LIFT B - INTERMEDIATE DESTINATION - Fill in only if this is the second flight of 3 legs

Destination Airfield__________ Date ____________# Passengers ___________

Earliest departure time _________L_______Z

Desired departure time _________L_______Z

Desired arrival time _________L_______Z

Latest arrival time _________L_______Z

____________________________________________________________________________

LIFT C - RETURN FLIGHT

Destination Airfield__________ Date ____________# Passengers ___________

Earliest departure time _________L_______Z

Desired departure time _________L_______Z

Desired arrival time _________L_______Z

Latest arrival time _________L_______Z

____________________________________________________________________________

*Cargo: this only applies to additional supplies, not personal baggage.

Largest item length in inches _______ width ______ height______ wt lbs ________

Heaviest item length in inches _______ width ______ height______ wt lbs ________

Total weight of cargo: _______ lbs Total Cube:________

** Cost of commercial travel: $__________

*** Senior ranking member on flight: _____________________ Phone: ___________

**** Person submitting request: _____________________ Phone: ___________

***** Officer Rep: _____________________ Phone: ___________