Reset FormAviation Service Request • June 21st, 2016
Contract Type FiledJune 21st, 2016AVIATION SERVICE REQUESTThis contract forms an integral part of the Master Standing Offer executed by the parties and dated for reference April 1, 2016. Contract Number: E.g. AO17FWB0001 where AO=Air Operations, 17 = Fiscal Year, FWB= Office Identifier, 0001=Numeric Batch Number (0001 through 9999) REQUISITIONING MINISTRY Name of Requisitioning Ministry: Requisitioning Ministry Name: Email: Representative:Phone: _ Alt. Phone: Fax: User Contact if not Requisitioning Ministry Rep: _ Submit Invoice to (address/email): SERVICEREQUESTED Service Period: Service Commencing Date: Time: ServiceCompletionDate: Time: Pointof Hire: Point of Release: Description of Services: ☐ See other attachments (e.g. contract schedules, maps, etc.) CONTRACTOR (AIR CARRIER) INFORMATION Contractor Representative: Phone: Name of Contractor: Email: Phone: Fax: Aircraft Requirements: Registration: A/C Type: Specialty Equipment: CONTRACT PAYMENT FEES☐ Tariff Rate (applicable Landing Fees are paid with Tariff