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PPR Request
Please fill out and submit this form.
18
Questions
START
1
Perth Based Aircraft:
YES
NO
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2
Aircraft Registration:
*
This field is required.
Please enter aircraft registration with NO dash (-)
Example: GZAZU
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3
Aircraft Type:
*
This field is required.
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4
Pilot Details:
*
This field is required.
First Name
Last Name
Phone Number
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5
Type of Flight
Private
Commercial
Training
Maintenance
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Enter
6
Number of persons onboard:
*
This field is required.
TOB
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7
Email Address:
*
This field is required.
example@example.com
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8
Arrival / Departure:
*
This field is required.
Arrival Into Perth
Departure From Perth
Arrival and Departure
Local Flight
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9
Date of flight:
*
This field is required.
Date
Day
Month
Year
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Enter
10
Arrival airfield:
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11
Departure / Arrival time:
*
This field is required.
00
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Hour
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Minutes
Until
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Hour
00
10
20
30
40
50
00
10
20
30
40
50
Minutes
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12
Are you attending ACS Engineering?
YES
NO
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Enter
13
Arrival information: (Date/Time)
Date
Day
Month
Year
00
01
02
03
04
05
06
07
08
09
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Hour
00
30
00
00
30
Minutes
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Enter
14
Departure airfield:
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Enter
15
Departure information: (Date/Time)
Date
Day
Month
Year
00
01
02
03
04
05
06
07
08
09
10
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07
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05
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20
21
22
23
Hour
00
30
00
00
30
Minutes
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Enter
16
Fuel Required:
*
This field is required.
Yes - Avgas
Yes - JetA1
No
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17
Parking Required:
Yes
No
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18
PrePay Landing Fee:
Due to COVID-19 All Landing Fees Must be Pre-Paid
YES
NO
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19
Aircraft Landing Fees:
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
GBP
Landing Fee (Select Aircraft Type)
£
17.50
GBP
+
Back
Small Single Engine
Flex Wing Microlight
Fixed Wing Microlight
Small Twin Engine
Medium Single Engine
Medium Twin Engine
Large Single Engine
Large Twin Engine
Small Single Engine
Small Single Engine
Flex Wing Microlight
Fixed Wing Microlight
Small Twin Engine
Medium Single Engine
Medium Twin Engine
Large Single Engine
Large Twin Engine
Aircraft Size
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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20
Nominate Responsible Person For Initiating Overdue Alerting?
YES
NO
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21
Responsible Person / Emergency Contact
*
This field is required.
First Name
Last Name
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22
Responsible Person / Emergency Contact - Phone Number
*
This field is required.
Area Code
Phone Number
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23
Responsible Person / Emergency Contact - Email Address
example@example.com
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Enter
24
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25
Additional Information:
TextSize
Created with Sketch.
Huge
Large
Normal
Small
Bold
Created with Sketch.
Italic
Created with Sketch.
Underline
Created with Sketch.
Underline Copy
Created with Sketch.
Ok
NumberList Copy 2
Created with Sketch.
quote
Created with Sketch.
Break
Created with Sketch.
Image
Created with Sketch.
Ok
Smiley
Created with Sketch.
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26
Please verify that you are human
*
This field is required.
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27
Form Type
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28
Tags
[object Object]
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