Annual / Maintenance Info Form

** NOTAM **

Effective January 1, 2023
Due to changes in our insurance, we can no longer allow owner-assisted maintenance.
You must hold an FAA-issued A&P Certificate and be listed by name on our insurance policy to perform any maintenance in our hangars.

Please complete the form below to schedule
Aircraft Maintenance or an Annual Inspection

Annual / Maintenance Info Form

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Tail Number *

Year *

Make and Model of Aircraft *

Serial Number (if known)

Type of Service Needed *

Maintenance

Annual

50/100 Hour Inspection

Pre-purchase Inspection

Annual Due Date * 01-January02-February03-March04-April05-May06-June07-July08-August09-September10-October11-November12-DecemberN/A – Maintenance OnlyXX-Out of Annual (needs ferry permit)

Requested Drop-off / Start Date – NOT Guaranteed *

Time *

121234567891011 : 0030 AMPM

Please call (830) 494-5882 to confirm we can accept your aircraft 1 hour prior to departure.

Name *

Name

First

First

Last

Last

Address *

Address

Address

Address

City

City

State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State

Zip/Postal

Zip/Postal

Cell Phone *

Email *

Alternate Contact Name *

Alternate Contact Phone *

Oil Change? *

Yes

No

Radio Buttons

AeroShell W100 Plus (recommended)

AeroShell W100

Phillips XC 20W/50

AeroShell 100 Mineral

Comments / Squawks *

Upload Photo(s) Pertaining to Your Squawk(s)

Drop a file here or click to upload Choose File

Maximum file size: 134.22MB

List of Provided Parts

I will pay via *

Check

Bank Draft / eCheck (up to $10,000)

Credit / Debit Card (+3.5% convenience fee)

How did you hear about us? *

If you are human, leave this field blank.

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