PPR REQUESTS

1
Perth Based Aircraft:
YESNO
2
Aircraft Registration:* This field is required.Please enter aircraft registration with NO dash (-)
Example: GZAZU
3
Aircraft Type:* This field is required.
4
Pilot Details:* This field is required.
First Name
Last Name
Phone Number
5
Type of Flight
Private
Commercial
Training
Maintenance
6
Number of persons onboard:* This field is required.
TOB
7
Email Address:* This field is required.
example@example.com
8
Arrival / Departure:* This field is required.
Arrival Into Perth
Departure From Perth
Arrival and Departure
Local Flight
9
Date of flight:* This field is required.
Date
Day
Month
Year
10
Arrival airfield:
11
Departure / Arrival time:* This field is required.
00
01
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Hour
00
10
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30
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50
Minutes
Until
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Hour
00
10
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30
40
50
Minutes
12
Are you attending ACS Engineering?
YESNO
13
Arrival information: (Date/Time)
Date
Day
Month
Year
07
00
01
02
03
04
05
06
07
08
09
10
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Hour
00
00
30
Minutes
14
Departure airfield:
15
Departure information: (Date/Time)
Date
Day
Month
Year
07
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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17
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Hour
00
00
30
Minutes
16
Fuel Required:* This field is required.
Yes - Avgas
Yes - JetA1
No
17
Parking Required:
Yes
No
18
PrePay Landing Fee:Due to COVID-19 All Landing Fees Must be Pre-Paid
YESNO
19
Aircraft Landing Fees:
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costGBP
Landing Fee (Select Aircraft Type)
£17.50GBP+
Back
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
Subtotal: £0.00GBP
Total cost £0.00GBP
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
20
Nominate Responsible Person For Initiating Overdue Alerting?
YESNO
21
Responsible Person / Emergency Contact * This field is required.
First Name
Last Name
22
Responsible Person / Emergency Contact - Phone Number* This field is required.
Area Code
Phone Number
23
Responsible Person / Emergency Contact - Email Address
example@example.com
24
25
Additional Information:
Huge
Large
Normal
Small
Ok
Ok
26
Please verify that you are human* This field is required.
27
Form Type
28
Tags
[object Object]
Should be Empty: