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 or IA and be listed by name on our insurance to perform any maintenance in our hangar.

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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