MRO Connect - Customer Relationship Management

Company Name*

FAA Certificate Number

Customer Identification

Customer ID

Operation Type*

Status*

Operation Specifications

Operator Approval*

10 or More 9 or Less

Release Requirements*

Airworthiness Release RII Release

Customer Airworthiness Release Statement This statement will be used for airworthiness release documentation.

HAZMAT Operations*

HAZMAT Will Carry HAZMAT Will Not Carry

Website

Company Address

Address Line 1*

Address Line 2

City*

State/Province*

Postal Code*

Country*

Specify Country*

Primary Contact

First Name*

Last Name*

Job Title*

Email Address*

Phone Number*

Mobile Number

Fax Number

Preferred Contact Method*

Additional Contacts

Add additional contacts for this customer (technical, billing, etc.)

Aircraft Information

This customer does not have aircraft (e.g., Part 145 repair station)

Aircraft #1

Airframe

Aircraft Manufacturer* Select the aircraft manufacturer

Aircraft Model* Select the aircraft model family

Aircraft Variant Select the specific aircraft variant

Manufacturer Serial No.*

Registration No.*

Country of Registration*

Year of Manufacture*

Maximum Take-Off Weight (MTOW)*

lbs

Engines

Number of Engines*

Engine Manufacturer*

Engine Model*

Engine Serial No. 1*

Propellers

Has Propellers?

Auxiliary Power Unit (APU)

Has APU?

Maintenance Program

Program Type*

Program Details

Supplemental Type Certificates

Major Modifications

Installed Equipment

Notes

Billing Contact

Same as Primary Contact?

Contact Name*

Email*

Phone*

Department

Billing Address

Same as Company Address?

Address Line 1*

Address Line 2

City*

State/Province*

Postal Code*

Country*

Specify Country*

Payment Information

Payment Terms*

Preferred Payment Method*

Tax Exempt?

Additional Information

Purchase Order Required?

Billing Notes

Shipping Account Information

FedEx Account Number

UPS Account Number

DHL Account Number

Review Customer Information

Please review all information before submitting.