"*" indicates required fields Step 1 of 3 0% AOG CUSTOMER INFORMATIONEvent Contact Name* First Last Event Contact's Title Company InformationCompany Name* Company PhoneCompany Alt PhoneCompany Email BillingBilling Contact Name First Last Billing Contact's Email Billing Contact's Phone Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Job InformationAircraft Type* Model* Serial Number* Registration* AOG Airport Code* FBO Request RTS DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Applicable FAR RTS Authority Work Order # Squawk(s) – Please Include Detail:Log Book Location Keys Left Aircraft/Avionics/Engine Program Provider ItemHoursAirframeEngine 1Engine 2Engine 3APUCyclesAirframeEngine 1Engine 2Engine 3APUModelEngine 1Engine 2Engine 3APUSerial NumberEngine 1Engine 2Engine 3APU This is an embedded Microsoft Office document, powered by Office.Terms & Conditions Agreement* I Acknowledge that I have read and understand the terms above.* Customer Labor Rate: $195.00 – one rate; no call out fee; no overtime; no holiday rate differential Travel Expenses – as defined; airfare, hotel, rental car, mileage for personal vehicle/company truck. Billed with no mark-up. Return travel to techs’ homebase will be billed unless techs are called to another job directly afterwards. Per Diem – $75.00 per day per tech; $110.00 per day per tech for international jobs. Tech Prep Time – required per tech for travel arrangements and tooling/equipment setup; 2 man-hours per tech. Wait Time – $225.00 per hour per tech up to 10 hours per day. Customer can call techs off the job in lieu of waiting on parts. If selected, customer will be charged for roundtrip travel of available techs once parts are received. Shipping & Handling – 4% of the WO total will be added to cover all common carrier shipping charges. Freight or courier services may incur additional charges. Appears as Shipping & Handling on the first page of the invoice. Labor Rates Agreement* I Acknowledge that I have read and understand the terms above.* Payment Authorization A valid credit card is required prior to performing work. Payment is due in full at the time the aircraft is released to the Customer. A 3.5% Convenience fee for credit card processing will be included on the invoice. By signature below, I certify that I am the owner or owner’s agent, and authorize West Star Aviation and its employees, subcontractors or consultants to perform the inspection, maintenance or repairs described above to include the provision and use of necessary materials required to accomplish the described work scope. I agree to pay West Star Aviation in full at completion for work authorized unless other arrangements are made in advance. I understand that customer supplied parts and materials must have documentation per the current regulatory guidance and will be subject to a handling fee of 18% of current market value. I understand a consumables charge of 5% of the work order total will be added to all work orders. I hereby authorize West Star Aviation to charge my credit card for any and all charges associated with the work performed according to the terms provided herein, as well as any additional charges which may arise as outlined in the General Terms and Conditions included on Pages 3 and 4. Payment for services rendered will be collected at the time of service. Payment Method Credit Card ACH/Wire Transfer ACH/Wire Transfer: I will send the remaining balance due prior to or at the time my aircraft is released.Signature*