FLIGHT ATTENDANT REQUEST
TO EXTEND VOLUNTARY FURLOUGH

NAME: _____________________________  EMPLOYEE NUMBER: __________

DATE CURRENT VOLUNTARY FURLOUGH ENDS:  _________________________

FIRST TRAINING DATE: _______________FLYING OPTION: ______________
 
BASE: _______

In accordance with the Voluntary Furlough Letter of Agreement, Paragraph 6, I hereby request that I be granted an extension of my Voluntary Furlough for the following duration. I understand that this request is subject to approval by the Company and that a Voluntary Furlough Extension will not be granted past December 2, 2004.
 
      Please check off your choice of Voluntary Furlough Extension. Select only one choice.
 
                  _______   6 Month Voluntary Furlough Extension
                  _______ 12 Month Voluntary Furlough Extension
                  _______ 18 Month Voluntary Furlough Extension
                  _______ 24 Month Voluntary Furlough Extension
                  _______ 30 Month Voluntary Furlough Extension
 
This form must be received by Inflight Administration no later than 90 days prior to the expiration date of your Voluntary Furlough.  It is your responsibility to ensure that we have received your request.  You may confirm our receipt by calling 1-800-327-0117, Prompts 1, 4, 1.  Late requests will not be accepted.
 
I understand that if awarded a Voluntary Furlough Extension, I agree to the conditions outlined in the Voluntary Furlough Agreement between the Association of Flight Attendants and the Company.  I acknowledge that I have reviewed this agreement, that I meet all of the eligibility requirements and that I may be recalled from Voluntary Furlough at any time if the needs of the company dictate.
 

SIGNATURE: __________________________________ DATE: _____________
 
SUBMIT COMPLETED REQUEST TO:

U.S. Mail        US Airways Inflight Administration      Fax Phone Number: (703) 872-6476
or FedEx:        2345 Crystal Drive, DCA/H695
                              Arlington, VA  22227