Wilding Air
iPad EFB Program Manual Application
The information you provide on the application will be used to produce your iPad EFB Program Manual. Please fill out the application as accurately and completely as possible, as this information is critical to the certification and/or acceptance process.
If you have questions please contact us via email or 248-212-4473.
Operator Information
Operator name:
Certificate number:
Address:
City:
State:
Zip code:
Responsible Person & Title for iPad EFB:
Phone number:
Fax number:
Email:
Shipping Information
Name:
Address:
City:
State:
Zip code:
Maintenance Facility Maintaining Aircraft
Name of facility:
Repair station certificate number:
Contact person:
Address:
City:
State:
Zip code:
Phone number:
Fax number:
Email:
Aircraft Information
(List all aircraft currently operated - attach additional pages if / as necessary)
Make/Model:
Registration number:
Serial number:
Aircraft color:
Seating capacity:
Operating under: (Please check one) ÿ 14 CFR 91 ÿ 14 CFR 135
Aircraft base of operation (ICAO):
Base of operation address:
Payment
Card Type: ÿ Visa ÿ Master Card ÿ Discover ÿ American Express
Card Number:
CCV Number:
Card Expiration:
Name on Card:
Billing Zip Code:
Agreement
Operator understands that the iPad EFB Responsible Person designated on this form must be the first point of contact for the FAA if / as applicable. Any technical questions or changes to the iPad EFB Program Manual requested by the Operator or FAA can be directed to Wilding Air.
Operator understands that additional documentation may be required by either the FAA or Wilding Air.
By signing this application, you authorize Wilding Air to prepare an iPad EFB Program Manual for the Operator listed above. The charges for this service (including support through the process) is due prior to preview and / or shipment of the iPad EFB Program Manual.Wilding Air will not be held responsible or liable for any delays of any type relating to FAA issuance of a Letter of Authorization and / or Operation Specifications if / as applicable.
iPad EFB Responsible Person (Print & Sign)
Please submit form via
or fax 248-391-1336
If you have any questions please contact us at
248-212-4473
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