Maintenance Repair Form

Maintenance Repair Form
Name of Payor*

First NameLast Name
Email*
example@example.com
Confirm Email*
example@example.com
Cell Phone*

Country CodeArea CodePhone Number
Daytime Phone*

Country CodeArea CodePhone Number
Payor Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping or Pickup*

Enter shipping addressPick up at Performance Designs (1320 East International Speedway BLVD Deland, Florida)Same as Billing Address
Return Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I need maintenance for my:*

Sport, Student, or Tandem CanopyPowered Parachute
Canopy Model*
Powered Parachute Model*
PD Reserve Sizes*
Optimum Reserve Sizes*
Katana Sizes*
Lightning Sizes*
Navigator Sizes*
Proxy Sizes*
Pulse Sizes*
Sabre2 Sizes*
Sabre3 Sizes*
Silhouette Sizes*
Spectre Sizes*
Stiletto Sizes*
Storm Sizes*
Velocity Sizes*
Comp Velocity Sizes*
Valkyrie Sizes*
Zero Sizes*
Peregrine Sizes*
Barnstormer Sizes*
Sunriser Sizes*
Other*
Serial Number*
Date of Manufacture*
Are you the original owner of this canopy?*

Yes, I purchased this brand newNo, I got it used
Your Skydiving

Tell us all about your jumping!
Exit Weight (in lbs)*
Height*
Years in Sport*
Your Total Jumps*
Your Previous Canopy*
Home Dropzone*
Your Age*
Type of Container*
Pilot Chute Type/Size*
Total number of jumps on this canopy*
Total number of jumps on this lineset*
Additional Information

Give us a little more information about your powered parachute!
Hours on This Canopy*
Type of Machine*
Hours on Machine*
Your Total Number of Pilot Hours*
Your Age*
Your Weight*
Work to be Done

What do you want us to do with your canopy? (Note: All canopies receive a mandatory inspection before any work can be done)
Inspection (mandatory for all canopies)*

Inspection Prices: Sport: $55 Tandem: $85 Powered Parachute: $165
Other Work to be Completed

RelineRepairOther (please explain below)
Special Instructions
Customer Code (if known)
Please verify that you are human*
By using this form you agree with the storage and handling of your data by this website*

Agree
Please Note: Any canopy with a balance due after 60 days from completion of work and resonable effort on behalf of Performance Designs, Inc to receive payment, will be sold or destroyed as deemed appropriate.
Should be Empty:

Maintenance Repair Form

Your Skydiving

Additional Information

Work to be Done