Spirit Avionics Ltd. FAA Certificated Repair Station: UOKR250X

4808 East 5th Avenue Columbus, Ohio 43219.   Phone: 614-237-4271 Fax: 614-237-6387 www.spiritavionics.com

                                                                                 

 

Customer:                                                                                                                                     Date Taken:                 _______________                             

Address:                                                                                                                                        Date Required:_________________________                        

City:                                                        State:                         Zip:_____________                Aircraft/ Unit Make:                                                      _ _____

Phone: ______________________Alt Phone:                                                                     Model:                                                      S/N #: ___________________

Fax:                                                      P.O.#:_____________________________                HGR #:____________________ _ Reg #:___________________

                

Method of Payment:  Cash    Check #:_________________  Credit Card Type                  #                                                               Exp. Date:                            

 

Item #
Discrepancy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I represent that I have the authority to authorize the herein described work and hereby expressly authorize this work to be done and to determine the cause of and to correct the trouble described along with the necessary labor, parts, material and outside services necessary.  I hereby grant you and/ or your employee’s permission to operate any equipment and taxi the aircraft herein described for the purpose of testing and / or inspection.  I further agree to pay costs incurred on aborted repairs and in cases where a specific problem cannot be found and / or duplicated.  I acknowledge that your warranty shall cover only the specific items installed, parts replaced and labor charged for the particular installation or repair.  I agree you will not be held responsible for any loss or damage to the aircraft, equipment or articles left in case of fire, theft, and any other cause beyond your control.  If it becomes necessary for you to employ a collection agency and or attorney to collect any billing for this work, I agree to pay all collection costs, court costs, interest and reasonable attorney fees and / or collection agency fees and hereby waive all rights to claim exemption under any state or federal law.  I agree to pay cash when work is completed, or satisfactory terms to you; and until paid in full an express mechanics lien is hereby acknowledged on this aircraft and /or equipment to secure the amount charged for this work.

IMPORTANT WARRANTY INFORMATION

All Avionic repairs warranted for 30 days.  Discrepancies must be reported within this period. Any billing adjustments must be made within 60 days for Spirit Avionics Ltd. to assume liability.

Payment is due upon completion, unless other arrangements are made in advance.  A finance charge of 1.75% per month will accrue on all payments 30 days past due.  Buyer agrees to pay all costs of collection, including, including attorneys fees and court costs, in the event of nonpayment according to the terms stated herein.  All credit card fees will

be paid by the customer.

 

 

Signed:                                                                                                                  Date: ____________________________