Name:
E-mail:
Phone Number:
Best Time to Call:
Prefered Method of Contact: Email: Phone:
City:
Zip Code: Aircraft Registration Number:
Total Time Airframe:
Total Time Engine #1: Hours:
 
Year When Overhauled or Remanufactured
Total Time Engine #2: Hours:
 
Year When Overhauled or Remanufactured

Aircraft Manufacturer
  OR 

Type in Manufacturer

Aircraft Model:

Aicraft Catagory:
 

 

Aircraft Last Annual Month/Year:

Aircraft Last Pitot Static Check Month/Year:

Is the Aircraft Airworthy Yes or No Please Explain if Not:

Has the Aircraft Flown in the Past 12 Months if Yes How Many Hours:

When was the Aircraft Last Painted:

When was the Aircraft Last Interior Done:

Are You the Owner of the Aicraft? Yes: No:

Where is the Aicraft Located? Airport:

Does the Aircraft Have any Known Damage History? Yes: No:

If Yes Please Explain:

Avionics Installed in Aircraft

Auto-Pilot Make: Auto-Pilot Model:

GPS 1 Make: Model:

GPS 2 Make: Model:

Audio Panel Make: Model:

Nav/Com 1 Make: Model:

Nav/Com 2 Make: Model:

Transponder 1 Make: Model:

Transponder 2 Make: Model:

Engine Analizer Make: Model:

Fuel Flow Make: Model:

Radar Make: Model:

Storm Scope Make: Model:

Avionics not Listed Above:

Modifications:

Additional Comments: