PPR REQUESTS 2021

1
Perth Based Aircraft:* This field is required.
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 Name:* This field is required.
First Name
Last Name
5
Phone Number:
6
Pilot Details:* This field is required.
First Name
Last Name
Phone Number
7
Type of Flight* This field is required.
Private
Training
Commercial
Maintenance
8
Number of persons onboard:* This field is required.
TOB
9
Email Address:* This field is required.
example@example.com
10
Arrival / Departure:* This field is required.
Arrival Into Perth
Departure From Perth
Local Flight
Arrival and Departure
11
Date of flight:* This field is required.
Date
Day
Month
Year
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Arrival airfield:* This field is required.
Airfield departing to -
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Departure / Arrival time:* This field is required.
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Hour
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Minutes
Until
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Hour
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Minutes
14
Are you attending ACS Engineering?* This field is required.
YESNO
15
Departure airfield:* This field is required.
Airfield departing from -
16
Arrival or Departure Time at Perth* This field is required.
16
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Hour
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Arrival / Departure Time:* This field is required.
16
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Hour
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Minutes
Until
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Hour
45
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30
45
Minutes
18
Fuel Required:* This field is required.
Yes - Avgas
Yes - JetA1
No
19
Parking Required:* This field is required.
Yes
No
20
PrePay Landing Fee:* This field is required.Due to COVID-19 All Landing Fees Must be Pre-Paid
YESNO
21
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
22
Nominate Responsible Person For Initiating Overdue Alerting?
YESNO
23
Responsible Person / Emergency Contact * This field is required.
First Name
Last Name
24
Responsible Person / Emergency Contact - Phone Number* This field is required.
Area Code
Phone Number
25
Responsible Person / Emergency Contact - Email Address
example@example.com
26
27
Additional Information:
Huge
Large
Normal
Small
Ok
Ok
28
Please verify that you are human* This field is required.
29
Form Type
Should be Empty: