Departure from WNMU - Language Institute

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Name (Paternal, Maternal, First Name) *

Email Address *

Means of Transportation out of Silver City PLEASE SELECT ONE *

Destination (From Silver City, where is your next destination?) *

Will you be traveling directly home into Your Home Country? *

Yes

If No, Where are you planning to go?

If leaving by Transportation provided by WNMU Language Institute: Where do you need to be taken? PLEASE SELECT ONE

If traveling by Airline or Bus we need to know when is your flight or bus leaving? DATE *

Airline or Bus Schedule (Itinerary) Please provide the Date and Time:

TIME your flight or Bus leaves. *

Airline Flight Number and Carrier Name:

Please provide your flight Number

Thank you