Online Work Order Details Online Work Order Details Date Location of Aircraft*KLASKHNDKVGTKBVUOtherPlease help us find youKey Location/InstructionsOther LocationBilling InformationCustomer Name* First Last BILLING ENTITY*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #*FAX #CELL PHONE #*Email* All payments are due at the completion of servicePayment Type*Wire TransferCheckCredit CardCashCredit Card #Expiration Date- MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberExpiration Date - Year20172018201920202021202220232024202520262027SEC CODEName on Card (If Different from above)Billing Zip CodeServices Information:ACFT/ENG Logbooks Provided:YesNoINDOC DATE INDOC TIME : HH MM AM PM EST OUT DATE SERVICES REQUESTED*Aircraft InformationAircraft Make & Model*Reg NO*S/NAircraft Total TimeTOTAL LDGHOBBS#1 ENGINE MODELS/NTT:TSCN#2 ENGINE MODELS/NTT:TSCNAPU MODELS/NHOURSMAINTENANCE TRACKING PROGRAMTYPE OF OPERATION*PART 91PART 135**If you are a Part 135 Operator, please provide a copy of General Maintenance Manual (GMM)I am the owner or authorized agent of the owner of the aircraft described above. I authorize APEX AVIATION, INC, its agents, and employees, to perform all necessary inspections and repairs on the aircraft and to provide all related necessary parts, materials, and supplies. APEX AVIATION, INC, its agents, and employees are also authorized to operate the aircraft for testing and inspection purposes. I understand that all labor, parts, materials, supplies, and work are performed on a C.O.D. basis and agree to the Apex Aviation Inc. Terms and Conditions located at https://apexaviationlv.com/TandC. I understand that if payment in full is not made when the aircraft is ready for delivery, APEX AVIATION, INC is authorized to detain the aircraft and to record a lien against the aircraft until the balance is paid in full per NRS 108.270. I understand that all overdue invoices are subject to a finance charge of 1.5% per month (18% annually) together with a parking fee of $65 per day.There will be a 3.5% convenience fee for all credit card transactions. There will be a 15% customer-supplied-part handling fee for all customer-supplied-parts with proper documentation. Overtime ApprovalYes, I authorize overtimeNo, I do not authorize overtimeCommentsThis field is for validation purposes and should be left unchanged.