Fly IWU Reimbursement Form

Personal Information
Mailing Address
Mailing Address
Date of Visit:
Date of Visit:
Flight Arrival Information
Arrival Date:
Arrival Date:
Flight Departure Information
Departure Date:
Departure Date:
Program Requirements
More than 300 mile total?
More than 300 mile total?
Copy of flight receipt submitted?
Copy of flight receipt submitted?
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Indiana Wesleyan University
4201 S. Washington St.
Marion, IN 46953

866-468-6498