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INTERNATIONAL ORDER - Please complete and FAX this page to (863) 648-9813.


Aircraft Make________________ Model_________________ S/N________________

Part Number / Description / Quantity
_____________________ __________________________ _______
_____________________ __________________________ _______
_____________________ __________________________ _______
_____________________ __________________________ _______

Shipping: Please Circle One USPS Priority Mail International - USPS Express Mail International

UPS Worldwide Express - UPS Worldwide Expedited

Shipping Info
Name________________________________________________________________

Company Name________________________________________________________

Address______________________________________________________________

City, State, Country, Zip_________________________________________________

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Phone________________________________________________________________

E-Mail________________________________________________________________


Billing Info
Credit Card Type Mastercard Visa Discover

Credit Card Number__________________________________________________

Expiration Date___________________ 3 Digit Code on Back________________

Name on Card_________________________________________________________

Is shipping address same as credit card billing address? Yes No
(If No, complete following.)

Address______________________________________________________________

City, State, Country, Zip_________________________________________________


Your Signature__________________________________________________________