Air Craft Donation Form

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Daytime Phone:

Alternate Phone:

E-Mail:

Air Craft Location

Check Here If Same As Above:

Address:

City:

State:

Zip Code:

Air Craft Information

Year:

Make:

Model:

Category of Aircraft:

Type of Usage: Commercial Private

Last Recorded Flight Date:

Last Service Date:

Overall Condition/Service Requirements:

Date Available for Donation:

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