AircraftPortal.com Turbine and Jet Powered Aircraft
Regular Advertisement Submission Form.
Important Note...
Please print this form and fill in the required information.
Please print clearly for all responses. Mail/fax using the
following information.
AircraftPortal.com
3336 Associates Drive
Burton, Michigan 48529-1302
810-232-9979 Phone
810-232-7177 Fax
866-232-9979 Toll Free Phone
866-232-7177 Toll Free Fax
Required Information (*)
- Aircraft Company/Owner Information
First Name (*): _______________________________
Last Name (*): _______________________________
Company Name: _______________________________
Address (*): _______________________________
_______________________________
City (*): _______________________________
State/Location (*): _______________________________
Zip (*): _______________________________
Phone Number - Day (*): _______________________________
Phone Number - Evenings: _______________________________
Optional Phone Number: _______________________________
Fax Number: _______________________________
Cellular Number: _______________________________
Pager Number: _______________________________
E-mail Address - One: _______________________________
E-mail Address - Two: _______________________________
(Home Page Link is required for
External Link Address)
Home Page Link: _______________________________
- Aircraft Overview and Summary Data
Aircraft Manufacturer
and Type/Description(*): _______________________________
Aircraft Year: _______________________________
Aircraft Registration Number: _______________________________
Aircraft Serial Number: _______________________________
Aircraft Total Time: _______________________________
Number of Landings: _______________________________
Location of Aircraft: _______________________________
Asking Price: _______________________________
Last Annual Inspection: _______________________________
- Aircraft Engine and Propeller Times
Engine Total Time - Left Outboard: _______________________________
Left Inboard: _______________________________
Right Inboard/Single Engine Aircraft: _______________________________
Right Outboard: _______________________________
Engine Total Time SMOH - Left Outboard: _______________________________
Left Inboard: _______________________________
Right Inboard/Single Engine Aircraft: _______________________________
Right Outboard: _______________________________
Engine Time SHOT - Left Outboard: _______________________________
Left Inboard: _______________________________
Right Inboard/Single Engine Aircraft: _______________________________
Right Outboard: _______________________________
Propeller Time SPOH - Left Outboard: _______________________________
Left Inboard: _______________________________
Right Inboard/Single Engine Aircraft: _______________________________
Right Outboard: _______________________________
APU Time: _______________________________
- Exterior/Interior Colors/Appointments
Exterior Color: _______________________________
Exterior Trim One: _______________________________
Exterior Trim Two: _______________________________
Interior Overview: _______________________________
Interior Color One: _______________________________
Interior Color Two: _______________________________
- Avionics
Avionics Overview: _______________________________
Audio Panel: _______________________________
Autopilot: _______________________________
Nav/Comm 1: _______________________________
Nav/Comm 2: _______________________________
Weather Protection: _______________________________
GPS: _______________________________
Transponder: _______________________________
Description 1: _______________________________
Description 2: _______________________________
- Optional Equipment and Accessories
Option #1: _______________________________
Option #2: _______________________________
Option #3: _______________________________
Option #4: _______________________________
Option #5: _______________________________
Option #6: _______________________________
- Any additional information we should have to process this ad?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Sixty (60) Day Run Time...
(Please circle the appropriate advertisement type)
Turbine Powered Regular Advertisement: $ 7.95
Jet Powered Regular Advertisement: 12.95
________
Total Enclosed $
- Payment Method (please mark the appropriate selection)
Check: _____ (see note below)
Money Order: _____
MasterCard: _____ Card Number: ______________________ Exp. Date: _____
Name on Card: _________________________________
Credit Card Authorization Signature: _________________________________
(Please charge my credit card the
total listed above)
Visa: _____ Card Number: ______________________ Exp. Date: _____
Name on Card: _________________________________
Credit Card Authorization Signature: _________________________________
(Please charge my credit card the
total listed above)
Important Note:
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