Installation/Service Request Form

Quote or Service Request*
Quote    Service Request

AOG
Select AOG if your Service request is priority, and you will be contacted immediately.

Aircraft Manufacturer*
A value is required.

Aircraft Model*
A value is required.

Aircraft Registration Number

Aircraft Serial Number

Aircraft Voltage*
12 Volts    24 Volts

Currently Installed Avionics
List Currently installed Avionics, Navigation Instruments, H.S.I., Flight Director Indicators, and or Auto Pilot Systems installed. This will assist us in providing an accurate quotation.

Installation or Service Requested
List the following systems and or products that you would like to be quoted and or installed. Provide a description of service that are being requested ie. 24 Month Pitot/Static Inspection or 24 Month Transponder Inspection.

List of Equipment to be Removed
New installation generally requires removal of equipment. Indicate Systems to be removed.

Timeframe for work to be completed
Please indicate when the work is to be carried out by, or when you may be interested if having the installations carried out.

To receive an exact installation quote we must receive a picture/image of your existing panel.

Please locate the image on your computer for submission by clicking on the 'BROWSE' button below. The image will be uploaded when you submit your request.

NOTE: Images larger than 5mb cannot be uploaded. Please make sure to reduce the size of your image if it is larger than 5mb.

Panel Picture

Name*
A value is required.

Company Name

Position

Address
Please add address for Aircraft location if different from billing/shipping Address.

Email Address*
A value is required.Invalid format.

Phone Number*
A value is required.

Fax Number

Currency
Canadian Dollar    US Dollar