New Customer Request | SJU Avionics

Maintenance Authorization Form

Full Name

Address

City

State

Country

Phone Number

Operator Name

Operator Type

Aircraft Registration Number

Aircraft Model

Aircraft Serial Number

Access To Aircraft Key

Aircraft Total Time

Aircraft Total Cycles

Select a Service

Discrepancy / Services Requested

Expected Departure Date and Time (San Juan Time)

Month

Day

Year

Time

HoursMinutes

Preferred Payment Method

(Optional) Purchase Order (Please upload any PO here)

Work Order Number / Invoice Number (Official Use Only)

BY CLICKING "Submit Autorization" YOU AGREE TO THE FOLLOWING

I, as owner and /or authorized agent of the owner of the aircraft described herein, hereby authorize SJU Avionics LLC, its agents and

employees, to undertake and perform all repairs detailed herein, together with all necessary parts, materials and supplies required in order to effectuate same. SJU Avionics LLC, its agents and employees, is / are further authorized to operate said aircraft for the purpose of testing and

inspection. I understand and agree that all labor, parts, materials, supplies and work are performed on a C.O.D. basis unless other arrangements are made.

SJU AVIONICS LLC IS RELIEVED OF ALL RESPONSIBILITY FOR ALL LOSS OR DAMAGE TO SAID AIRCRAFT OR ARTICLES LEFT THEREIN IN THE EVENT OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND THE DIRECT CONTROL OF SJU AVIONICS LLC.