Lounge Access Policy Change Notification Form
Please review the details of the lounge access policy change and provide your acknowledgment below.
Your Full Name
*
First Name
Last Name
Your Role or Department
*
Email Address
*
example@example.com
Stakeholder Group
*
Please Select
Employee
Contractor
Lounge Partner
Vendor
Other
Policy Name or Reference
*
Summary of Policy Change
*
Reason for Policy Change
*
Effective Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Impacted Lounge Location(s) or Access Group(s)
*
I acknowledge that I have read and understood the lounge access policy change.
*
I acknowledge
Submit Acknowledgment
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