2152 Astoria Circle # 104
Herndon, VA 20170
Fax 703 657-0340

e-APIS INFORMATION - AFTER SELECTING DEPARTURE OR ARRIVAL NOTIFICATION AS APPROPRIATE, ALL FIELDS ON THIS FORM ARE MANDATORY FOR U.S. CUSTOMS CLEARANCE - ANY FIELDS LEFT BLANK CONSTITUTES DENIAL OF THE CLEARANCE

Customer Name
Primary Contact Name
Contact's e-mail
Contact's Business Phone Number
Contact's Cell Phone Number
Contact's Fax Number
Billing Address
Delivery Address
Name on A/C Registration
PERSON RESPONSIBLE FOR MAINTENANCE OPERATIONS
Name
Title
Business Phone Number
Cell Phone Number
Fax Number
E-Mail Address
Delivery Address
AIRCRAFT DETAILS
A/C Make and Model
A/C Year of Manufacture
A/C Registration Number
A/C Serial Number
A/C Base Color and Trim Color
MTOGW (lbs.)
Basic Empty Weight BEW/BOW (lbs.)
Engine Type and Dash Number
Aircraft Base of Operations
Maximum Fuel in Pounds
MAINTENANCE DETAILS
Airworthiness Directive's (AD's) Not Complied With
Inspections Past Due
Inspections Due

DETAILS OF WORK TO BE PERFORMED:

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