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PPR REQUESTS 2021
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18
Questions
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1
Perth Based Aircraft:
*
This field is required.
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 Name:
*
This field is required.
First Name
Last Name
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5
Phone Number:
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6
Pilot Details:
*
This field is required.
First Name
Last Name
Phone Number
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7
Type of Flight
*
This field is required.
Private
Training
Commercial
Maintenance
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8
Number of persons onboard:
*
This field is required.
TOB
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9
Email Address:
*
This field is required.
example@example.com
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10
Arrival / Departure:
*
This field is required.
Arrival Into Perth
Departure From Perth
Local Flight
Arrival and Departure
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11
Date of flight:
*
This field is required.
Date
Day
Month
Year
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12
Arrival airfield:
*
This field is required.
Airfield departing to -
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13
Departure / Arrival time:
*
This field is required.
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Hour
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Minutes
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Enter
14
Are you attending ACS Engineering?
*
This field is required.
YES
NO
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15
Departure airfield:
*
This field is required.
Airfield departing from -
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16
Arrival or Departure Time at Perth
*
This field is required.
00
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Hour
00
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00
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Minutes
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Enter
17
Arrival / Departure Time:
*
This field is required.
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Hour
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Minutes
Until
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Hour
00
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45
45
00
15
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45
Minutes
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Enter
18
Fuel Required:
*
This field is required.
Yes - Avgas
Yes - JetA1
No
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19
Parking Required:
*
This field is required.
Yes
No
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20
PrePay Landing Fee:
*
This field is required.
Due to COVID-19 All Landing Fees Must be Pre-Paid
YES
NO
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21
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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22
Nominate Responsible Person For Initiating Overdue Alerting?
YES
NO
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23
Responsible Person / Emergency Contact
*
This field is required.
First Name
Last Name
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24
Responsible Person / Emergency Contact - Phone Number
*
This field is required.
Area Code
Phone Number
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25
Responsible Person / Emergency Contact - Email Address
example@example.com
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26
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27
Additional Information:
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Normal
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Underline Copy
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28
Please verify that you are human
*
This field is required.
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29
Form Type
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