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EX5000 Software Replacement Request
Please Complete The Following Information
Reason for request
*
Corrupt CF Card, Insufficient memory, Yellow tabbing, error writing, etc.
Hardware Serial Number found on Aux tab or TSO label
*
Current Software Part Number found on the Aux tab or by removing the CF card from the accessible panel.
*
Aircraft Type/Make and model
*
Aircraft Registration Number
*
Aircraft Serial Number
*
Is the Electronics Charts Tab present on the MFD?
*
Please Select
Yes
No
Is the MFD interfaced to a TAWS system?
*
Please Select
Yes
No
Is the MFD interfaced to a traffic system
*
Please Select
Yes
No
Traffic System
*
Avidyne TAS
BGF Skywatch
TCAS
TIS
ADS-B
Aircraft Voltage
*
14 Volt
28 Volt
Aircraft Bus Type
*
Single Bus
Dual Bus
Lightening Sensor Type Installed?
*
What Data-Link Systems are installed? (Select ALL that apply)
*
No Data-Link Installed
Avidyne MLB700 (No Longer Supported)
Avidyne MLX770
WSI AV-300 (No Longer Supported)
Heads-Up Technologies XM Receiver
ADS-B (FIS-B Weather)
Does Aircraft Have A Weather Radar System Installed?
*
Yes
No
What Weather Radar System is Installed?
*
Shop Information
Reporting Shop Name
*
Technician Name
*
First Name
Last Name
Shop Phone Number
*
-
Country Code
-
Area Code
Phone Number
Shop Email
*
example@example.com
Shop Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Shipping Information
Dealer Location
*
United States (Excluding territories)
International
Shipping Company
*
Shipping Account
*
Shipping Method
*
MFD Configuration
Current Nav Data
*
America's
International
Is Outgoing Nav Data the same as Incoming?
*
Yes
No
Outgoing Nav Data
*
America's
International
Sensor Information
Leave blank if no configuration exists or if unsure
GPS I
Receiver A
Port
Speed/Baud
GPS II
Receiver B
Port
Speed Baud
Traffic
Sensor
Port
TAS Type/Model
External Controller?
Yes
No
Lightning
Sensor
Operation Mode
Port
Stab Type
Enabled Warning
Yes
No
Antenna on Top
Yes
No
Engine
Aircraft Model
DAU ARINC Port/Left Engine Port
Rudder Trim Port/Right Engine Port
Fuel Quantity Port/Serial Port
Fuel Units
Vacuum System Installed?
Yes
No
Sensor Type
Electrical Port
Radar
Radar
Bendix
UnStab Bendix
Collins
Digital
Radar Sensor
Park Position
Beam Width
Beam Height
Enable Gain Control
Yes
No
Enable Vertical Profile
Yes
No
Enable Auto Tilt Control
Yes
No
Primary Indicator
Yes
No
Disable Stabilization
Yes
No
Enable Auto Standby
Yes
No
TAWS
Sensor
ARINC429 Port
ARINC453 Port
Altitude Annunciation on
Yes
No
Map
Map Heading
Aircraft
Checklist
Narrow Cast (No Longer Supported)
Narrow Cast Port (Not Applicable)
Broad Cast
If ADS-B Broad Cast please indicate Baud Rate
Broad Cast Port
Aux Data
Aux Data Port
Brightest Dimming Voltage
Darkest Dimming Voltage
System
Time in Service
Submit
Should be Empty: